Jem Medical Group Llc | |
450 N Brand Blvd Ste 600 Glendale CA 91203-2349 | |
(818) 369-1170 | |
Not Available |
Full Name | Jem Medical Group Llc |
---|---|
Speciality | Nurse Practitioner - Family |
Location | 450 N Brand Blvd Ste 600, Glendale, California |
Authorized Official Name and Position | Milton Eric Lopez (OWNER/AUTHORIZED OFFICIAL) |
Authorized Official Contact | 8183691170 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jem Medical Group Llc 450 N Brand Blvd Ste 600 Glendale CA 91203-2349 Ph: () - | Jem Medical Group Llc 450 N Brand Blvd Ste 600 Glendale CA 91203-2349 Ph: (818) 369-1170 |
NPI Number | 1891542791 |
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Provider Enumeration Date | 04/30/2024 |
Last Update Date | 04/30/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891542791 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
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