Glendale Premier Medical Group

NPI #1003956715 in Glendale, California

Provider Information

NPI Number: 1003956715
Entity Type: Organization
Organization Name: Glendale Premier Medical Group
Primary Specialty: Family Medicine
Enumeration Date: Feb 8, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 222 W EULALIA ST
Address 2: #201
City: Glendale
State: California
ZIP Code: 91204-2849
Phone: (818) 240-0601

Authorized Official

Name: MS. LAINIS QUEVEDO
Title: ADMINISTRATOR
Phone: (818) 240-0662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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