| Corebridge Aba Inc | |
|
333 E Glenoaks Blvd Ste 101 Glendale CA 91207-2096 | |
| (323) 533-3777 | |
| Not Available |
| Full Name | Corebridge Aba Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 333 E Glenoaks Blvd Ste 101, Glendale, California |
| Authorized Official Name and Position | Kim Mitchell Potter (CONSUTANT) |
| Authorized Official Contact | 2019783815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corebridge Aba Inc 333 E Glenoaks Blvd Ste 101 Glendale CA 91207-2096 Ph: (323) 533-3777 | Corebridge Aba Inc 333 E Glenoaks Blvd Ste 101 Glendale CA 91207-2096 Ph: (323) 533-3777 |
| NPI Number | 1750204822 |
|---|---|
| Provider Enumeration Date | 08/04/2026 |
| Last Update Date | 08/04/2026 |
| Certification Date | 08/04/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750204822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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