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GLENDALE FIDELITY MEDICAL GROUP INC NPI 1801915327


NPI Information

NPI: 1801915327
Provider Name: GLENDALE FIDELITY MEDICAL GROUP INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
815 E COLORADO ST
STE 110A
GLENDALE, CA
ZIP 91205
Phone: (818) 242-1910
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GLENDALE FIDELITY MEDICAL GROUP INC is a chiropractor in Glendale, CA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. GLENDALE FIDELITY MEDICAL GROUP INC NPI is 1801915327. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

815 E COLORADO ST
STE 110A
GLENDALE, CA
ZIP 91205-200
Phone: (818) 242-1910
Fax: (818) 242-1990

The provider's authorized official is Moris Elie .
The authorized official title is Director and has the following contact phone number (818) 242-1910.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor1924CALIFORNIAYes
2207R00000XInternal MedicineA64420CALIFORNIAX
3207X00000XOrthopaedic SurgeryA38702CALIFORNIAX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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