Provider Demographics
NPI:1326483165
Name:DOCTORS & ASSOCIATES MEDICAL GROUP INC. A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:DOCTORS & ASSOCIATES MEDICAL GROUP INC. A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:L
Authorized Official - Last Name:HECHT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-350-3040
Mailing Address - Street 1:9660 FLAIR DR
Mailing Address - Street 2:SUITE 264
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91731-3017
Mailing Address - Country:US
Mailing Address - Phone:626-350-3040
Mailing Address - Fax:626-350-3050
Practice Address - Street 1:9660 FLAIR DR
Practice Address - Street 2:SUITE 264
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-3017
Practice Address - Country:US
Practice Address - Phone:626-350-3040
Practice Address - Fax:626-350-3050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-07
Last Update Date:2017-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology PractitionerGroup - Multi-Specialty
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology SupplierGroup - Multi-Specialty