Provider Demographics
NPI:1346491651
Name:JAVIER AMU,M.D. PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:JAVIER AMU,M.D. PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:AMU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-743-7340
Mailing Address - Street 1:1093 11TH ST
Mailing Address - Street 2:
Mailing Address - City:REEDLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93654-2950
Mailing Address - Country:US
Mailing Address - Phone:559-743-7340
Mailing Address - Fax:559-743-7395
Practice Address - Street 1:1093 11TH ST
Practice Address - Street 2:
Practice Address - City:REEDLEY
Practice Address - State:CALIFORNIA
Practice Address - Zip Code:93654
Practice Address - Country:UM
Practice Address - Phone:559-743-7340
Practice Address - Fax:559-743-7395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA81420174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty