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Organization
GLENOAKS URGENT CARE MEDICAL GROUP, INC.
Active
Organization
GLENOAKS URGENT CARE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER J PARKER MD (PRESIDENT)
(818) 546-2626
Entity
Organization
Contact information
Practice address
1100 W GLENOAKS BLVD, GLENDALE, CA 91202-2606
(818) 242-3333
(818) 546-1056
Mailing address
PO BOX 5068, GLENDALE, CA 91221-2068
(310) 276-4715
(310) 276-4634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A97912
CA
207R00000X
Internal Medicine Physician
A92103
CA
208D00000X
General Practice Physician
A52178
CA
213E00000X
Podiatrist
E4649
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AW872B
—
CA
Enumeration date
10/16/2006
Last updated
05/17/2022
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