Medwise Medical Clinic, INC

NPI #1609813096 in Glendale, California

Provider Information

NPI Number: 1609813096
Entity Type: Organization
Organization Name: Medwise Medical Clinic, INC
Primary Specialty: General Practice
Enumeration Date: Jun 2, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 540 N CENTRAL AVE
Address 2: SUITE 203
City: Glendale
State: California
ZIP Code: 91203-1916
Phone: (818) 242-0500

Authorized Official

Name: DR. SHALIMAN EIVAZZADEH, M.D.
Title: OWNER
Phone: (818) 242-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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