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 Suite 105, Glendale CA 91205-4431. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Glendale Community Medical Group, Inc. can be contacted via phone (818) 265-2204, or through Bui, Duc Cong via phone (818) 265-2204.

Contact Information

Primary practice address
801 S Chevy Chase Dr Suite 105 Glendale CA 91205-4431
Phone: (818) 265-2204
Fax: (818) 265-2201
Website:
Map and Directions
Authorized official contact:
Name: Bui, Duc Cong Doctor of Medicine (MD)
Phone: (818) 265-2204

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 23056633 California

Profile Details

NPI number 1679564934
LBN Legal business name Glendale Community Medical Group, Inc.
DBA Doing business as
Authorized official Bui, Duc Cong Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2005
Last updated Feb 9th, 2011 - about 13 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 1679564934 NPPES
California MEDICAID 00A459580

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