Glendale Community Medical Group Inc

LBN: Glendale Community Medical Group Inc
Glendale Community Medical Group Inc is an health care organization with primary practice located at 801 S Chevy Chase Dr 105, Glendale CA 91205-4431. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Glendale Community Medical Group Inc can be contacted via phone (818) 265-2203, or through Bui, Duc C via phone (818) 265-2203.

Contact Information

Primary practice address
801 S Chevy Chase Dr 105 Glendale CA 91205-4431
Phone: (818) 265-2203
Fax: (818) 265-2201
Website:
Map and Directions
Authorized official contact:
Name: Bui, Duc C Doctor of Medicine (MD)
Phone: (818) 265-2203

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A45958 California

Profile Details

NPI number 1013102854
LBN Legal business name Glendale Community Medical Group Inc
DBA Doing business as
Authorized official Bui, Duc C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2007
Last updated Dec 26th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013102854 NPPES
California MEDICAID 00A459580

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