| Glutality Provider Group Of California Pc | |
|
7250 Redwood Blvd Ste 300 Novato CA 94945-3269 | |
| (561) 678-2026 | |
| (561) 423-9249 |
| Full Name | Glutality Provider Group Of California Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7250 Redwood Blvd Ste 300, Novato, California |
| Authorized Official Name and Position | Mitchell Stottland (OWNER) |
| Authorized Official Contact | 5616782026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glutality Provider Group Of California Pc 401 Fairway Dr Ste 200 Deerfield Beach FL 33441-1800 Ph: (561) 678-2026 | Glutality Provider Group Of California Pc 7250 Redwood Blvd Ste 300 Novato CA 94945-3269 Ph: (561) 678-2026 |
| NPI Number | 1235843723 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 07/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235843723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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