Provider Demographics
NPI:1831365808
Name:DAVID AMRON
Entity type:Organization
Organization Name:DAVID AMRON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MEYER
Authorized Official - Last Name:AMRON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-331-6170
Mailing Address - Street 1:120 S SPALDING DR
Mailing Address - Street 2:SUITE# 315
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-1800
Mailing Address - Country:US
Mailing Address - Phone:626-331-6170
Mailing Address - Fax:626-331-6171
Practice Address - Street 1:120 S SPALDING DR
Practice Address - Street 2:SUITE# 315
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-1800
Practice Address - Country:US
Practice Address - Phone:626-331-6170
Practice Address - Fax:626-331-6171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG72788174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW18726Medicare UPIN