GLENDALE COMMUNITY MEDICAL GROUP INC. NPI 1679564934

NPI Information

GLENDALE COMMUNITY MEDICAL GROUP, INC. is a nephrology internal medicine in Glendale, CA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. GLENDALE COMMUNITY MEDICAL GROUP, INC. NPI is 1679564934. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

801 S CHEVY CHASE DR
SUITE 105
GLENDALE, CA
ZIP 91205-431
Phone: (818) 265-2204
Fax: (818) 265-2201

The provider's authorized official is Duc Cong Bui .
The authorized official title is President and has the following contact phone number (818) 265-2204.

The CLIA number assigned to this NPI record is 05D1023986 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2005 and was last updated on 2/9/2011.

Taxonomy Codes

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Other Identifiers

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