| Glendale Community Family Practice Inc. | |
|
316 E Broadway # B Glendale CA 91205-1011 | |
| (818) 956-2001 | |
| Not Available |
| Full Name | Glendale Community Family Practice Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 316 E Broadway # B, Glendale, California |
| Authorized Official Name and Position | Woo Sok Lee (OWNER) |
| Authorized Official Contact | 8189562001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glendale Community Family Practice Inc. Po Box 27206 Los Angeles CA 90027-0206 | Glendale Community Family Practice Inc. 316 E Broadway # B Glendale CA 91205-1011 Ph: (818) 956-2001 |
| NPI Number | 1407988058 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407988058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A85330 (California) | Primary |
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