Organization · Type 2 NPI
Tyd Executive Medical Clinic
Medical Specialty Clinic/Center · Glendale, CA
Practice location
411 N Central Ave Ste 305
Glendale, CA 91203-2020
Fax (818) 500-1348
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | G44887 (CA) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Another provider at this address
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About NPI 1942570130
Tyd Executive Medical Clinic's National Provider Identifier is 1942570130, issued on Jan 5, 2012. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Glendale, CA. The record was last updated on Apr 24, 2014.