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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
Street Address |
1531 GLENVILLE DR |
City | LOS ANGELES |
State | CA |
Zip Code | 90035-3107 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871122606 | Transformational Yoga, LLC | Chiropractor | 1649 Robertson Blvd, Los Angeles, CA 90035 | 2020-04-03 |
1962061945 | Alcott Center for Mental Health Services | Community/Behavioral Health | 1441-1443 S. Robertson Blvd., Los Angeles, CA 90035 | 2019-06-12 |
1124514773 | Bahareh Haykani | Physician Assistant | 1105 S La Peer Dr, Los Angeles, CA 90035 | 2018-07-06 |
1700303609 | Jisun Lee | Specialist/Technologist | 1080 S. La Cienega Blvd, #208, Los Angeles, CA 90035 | 2017-08-23 |
1407202393 | Elham Azarmiazam | Chiropractor | 1016 South Robertson Blvd., Los Angeles, CA 90035 | 2016-05-10 |
1548626369 | Esther Levy-bremer | Acupuncturist | 1411 S. Cardiff Ave., Ca 90035, Los Angeles, CA 90035 | 2016-01-08 |
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 |
1437568250 | Edwin Gromis M.d. A Prof Corp | Orthopaedic Surgery | 1122 S. Robertson Blvd Suite 1, Los Angeles, CA 90035 | 2014-08-06 |
1073929725 | David Javdon | Dentist | 1125 S. Beverly Dr., Suite #400, Los Angeles, CA 90035 | 2014-07-02 |
Find all providers in zip 90035 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
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] |
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 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90035 |
Please comment or provide details below to improve the information on GLENVILLE MEDICAL GROUP, A MEDICAL CORPORATION.
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.