GLENVILLE MEDICAL GROUP, A MEDICAL CORPORATION


Address: 1531 Glenville Dr, Los Angeles, CA 90035-3107
Phone: 3105512750

GLENVILLE MEDICAL GROUP, A MEDICAL CORPORATION (NPI# 1932395092) 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) 1932395092
Entity Type Organization
Organization Name GLENVILLE MEDICAL GROUP, A MEDICAL CORPORATION
Practice Address 1531 Glenville Dr
Los Angeles
CA 90035-3107
Practice Telephone 3105512750
Mailing Telephone 3105512750
Enumeration Date 2007-09-21
Last Update Date 2007-12-26
Authorized Official Name MS. JOY VERNON (BILLER)
Authorized Official Telephone 3105512750
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site Suppliers

Office Location

Street Address 1531 GLENVILLE DR
City LOS ANGELES
State CA
Zip Code 90035-3107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942478763 Joshua Penn Md A Medical Corporation Internal Medicine 1531 Glenville Dr, Los Angeles, CA 90035-3107 2008-02-14

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NPI Name Taxonomy Address Enumeration
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1972992949 Tali Shams Pharmacist 1108 South Lapeer Drive, Los Angeles, CA 90035 2015-01-14
1932598067 Edwin Gromis Orthopaedic Surgery 1122 South Robertson Blvd., Los Angeles, CA 90035 2015-01-13
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Taxonomy Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730624719 St. John's Well Child and Family Center Inc Non-Pharmacy Dispensing Site 326 W 23rd St, Los Angeles, CA 90007-2612 2016-12-29
1265441216 Randy L Peters Non-Pharmacy Dispensing Site 3198 W 7th St Apt 318, Los Angeles, CA 90005-1659 2006-08-07
1891245619 Keith L. Gurnick, D.p.m. Non-Pharmacy Dispensing Site 2080 Century Park E, Suite 705, Los Angeles, CA 90067-2001 2016-10-04
1770962946 R Roland Lopez, M.d., Inc. Non-Pharmacy Dispensing Site 1711 W Temple St, Suite 4100, Los Angeles, CA 90026-5421 2015-05-21
1386021475 R Roland Lopez, M.d., Inc. Non-Pharmacy Dispensing Site 5301 Whittier Blvd, Suite B, Los Angeles, CA 90022-4038 2015-04-28
1033501101 Ais Medical Foods, Inc. Non-Pharmacy Dispensing Site 8631 W 3rd St, Suite 1145e, Los Angeles, CA 90048-5901 2015-02-26
1255749099 Morningside Primary Care Medical Center Mc Inc A Nevada Corporation Non-Pharmacy Dispensing Site 617 W Manchester Ave, Los Angeles, CA 90044-5718 2014-07-24
1386058402 Arj Medical, Inc. Non-Pharmacy Dispensing Site 5655 E Beverly Blvd, Los Angeles, CA 90022-2803 2014-06-17
1043624489 Daniel Capen, M.d., A Professional Corporation Non-Pharmacy Dispensing Site 6200 Wilshire Blvd, Suite 910, Los Angeles, CA 90048-5801 2014-06-13
1023428521 Pacific Rejuvenation Medical, A Professional Corp. Non-Pharmacy Dispensing Site 6310 San Vicente Blvd, Suite 220, Los Angeles, CA 90048-5426 2014-05-06
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Competitor

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City LOS ANGELES
Zip Code 90035

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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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