| Glendale Mutual Care Clinic | |
|
230 N Maryland Ave Suite 105 Glendale CA 91206-4261 | |
| (626) 616-6642 | |
| Not Available |
| Full Name | Glendale Mutual Care Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 230 N Maryland Ave, Glendale, California |
| Authorized Official Name and Position | Jarlath Noel Ryan (PRESIDENT) |
| Authorized Official Contact | 6266468233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glendale Mutual Care Clinic Po Box 10717 Glendale CA 91209-3717 Ph: () - | Glendale Mutual Care Clinic 230 N Maryland Ave Suite 105 Glendale CA 91206-4261 Ph: (626) 616-6642 |
| NPI Number | 1972768158 |
|---|---|
| Provider Enumeration Date | 07/27/2008 |
| Last Update Date | 07/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972768158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A98448 (California) | Primary |
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