Provider Demographics
NPI:1013760248
Name:A MU D O INC
Entity Type:Organization
Organization Name:A MU D O INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER, CHIEF FINA
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:CHIENTU
Authorized Official - Last Name:MU
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:909-210-1209
Mailing Address - Street 1:356 TROUT LAKE DR
Mailing Address - Street 2:
Mailing Address - City:SANGER
Mailing Address - State:CA
Mailing Address - Zip Code:93657
Mailing Address - Country:US
Mailing Address - Phone:559-549-3234
Mailing Address - Fax:559-641-5608
Practice Address - Street 1:761 W SHAW AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-3217
Practice Address - Country:US
Practice Address - Phone:559-549-3234
Practice Address - Fax:559-641-5608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty