Family Medicine Physicians Of Glendale | |
1510 S Central Ave Suite 300 Glendale CA 91204-2500 | |
(818) 254-1500 | |
(818) 244-4830 |
Full Name | Family Medicine Physicians Of Glendale |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 1510 S Central Ave, Glendale, California |
Authorized Official Name and Position | Rozella Knox (PRESIDENT) |
Authorized Official Contact | 8182541500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Medicine Physicians Of Glendale 1510 S Central Ave Suite 300 Glendale CA 91204-2500 Ph: (818) 254-1500 | Family Medicine Physicians Of Glendale 1510 S Central Ave Suite 300 Glendale CA 91204-2500 Ph: (818) 254-1500 |
NPI Number | 1609811082 |
---|---|
Provider Enumeration Date | 06/18/2006 |
Last Update Date | 06/24/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609811082 | NPI | - | NPPES |
GR0066863 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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