Organization · Type 2 NPI

Glendale Community Medical Group Inc

Specialist · Glendale, CA

NPI number 1013102854 Active

Practice location

801 S Chevy Chase Dr, 105
Glendale, CA 91205-4431

Fax (818) 265-2201

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA45958 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1013102854

Glendale Community Medical Group Inc's National Provider Identifier is 1013102854, issued on Sep 13, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Glendale, CA. The record was last updated on Dec 26, 2007.