REMEDY MEDICAL OF CALIFORNIA PC


Address: 138 N. Brand Blvd., Ste. 200, Unit 163, Glendale, CA 91203
Phone: 8447363395

REMEDY MEDICAL OF CALIFORNIA PC (NPI# 1801354758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801354758
Entity Type Organization
Organization Name REMEDY MEDICAL OF CALIFORNIA PC
Practice Address 138 N. Brand Blvd.
Ste. 200, Unit 163
Glendale
CA 91203
Practice Telephone 8447363395
Mailing Telephone 8447363395
Enumeration Date 2019-03-11
Last Update Date 2019-03-11
Authorized Official Name JEREMY GABRYSCH (FOUNDER & CEO)
Authorized Official Telephone 5125379269
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
N 208D00000X General Practice Allopathic & Osteopathic Physicians
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 138 N. BRAND BLVD.
STE. 200, UNIT 163
City GLENDALE
State CA
Zip Code 91203

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1588190664 Vanessa Guzman Physician Assistant 600 N. Central Ave, 322, Glendale, CA 91203 2017-05-10
1114465796 Elizabeth Pedroza Estrada Case Manager/Care Coordinator 237 North Glendale, Glendale, CA 91203 2017-02-03
1477090934 Blue Med-ride Medical Transportation Non-emergency Medical Transport (VAN) 121 W Lexington Dr # L200, Glendale, CA 91203 2017-01-23
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1316396823 Shaunak Jaiprakash Intwala Pharmacist 330 N Brand Blvd Ste 155, Glendale, CA 91203 2016-06-06
1295117315 Luis Ernesto Garcia Artiga Licensed Vocational Nurse 500 N Central Ave Suite 250, Glendale, CA 91203 2015-06-25
1891108031 Charles Pilavian Clinical Neuropsychologist 138 N Brand Blvd Ste 300, Glendale, CA 91203 2014-06-05
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City GLENDALE
Zip Code 91203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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