Glendale Community Medical Group Inc

NPI 1013102854 - Specialist - 174400000X

NPI Details
NPI 1013102854
Enumeration Date 09/13/2007
Last Updated 12/26/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DUC C DUC
Position PRESIDENT
Phone (818) 265-2203
Fax (818) 265-2201
Practice Location
801 S CHEVY CHASE DR
105
GLENDALE CA, 91205-4431, US
Phone (818) 265-2203
Fax (818) 265-2201
Business Location
801 S CHEVY CHASE DR
105
GLENDALE CA, 91205-4431, US
Phone (818) 265-2203
Fax (818) 265-2201
Toxanomy
Taxonomy Code 174400000X
License State California
License Number A45958
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According to our database, Glendale Community Medical Group Inc NPI is 1013102854, taxonomy code is 174400000X and license number is A45958, license state is located at California. Glendale Community Medical Group Inc physically located at 801 S Chevy Chase Dr, Glendale CA, 91205-4431. NPI Number 1033115704 has the healthcare provider type.

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1013102854 NPI number is provided on an as is basis without warranty of any kind. 1013102854 is maintained by the National Plan & Provider Enumeration System. The contents of Glendale Community Medical Group Inc are for informational purposes only.