Provider Demographics
NPI:1861591448
Name:MACIAS, AMELIA J
Entity type:Individual
Prefix:MRS
First Name:AMELIA
Middle Name:J
Last Name:MACIAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9144 GALLATIN RD
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-2927
Mailing Address - Country:US
Mailing Address - Phone:562-964-9179
Mailing Address - Fax:
Practice Address - Street 1:850 S ATLANTIC BLVD STE 101
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-4727
Practice Address - Country:US
Practice Address - Phone:626-281-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other