NPI 1013102854

Glendale Community Medical Group INC

Organisation Specialist Glendale, CA

Practice location

Address: 801 S Chevy Chase Dr 105, Glendale, CA 91205-4431
Phone: (818) 265-2203
Fax: (818) 265-2201

Authorised official

Name: Duc C Bui
Title: President
Phone: (818) 265-2203

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence A45958 (CA)

Other Specialist providers in California →

Registry record

NPI: 1013102854
Entity type: Organization
NPI issued: 13 Sep 2007
Record last updated: 26 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.