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Organization
YORK GLEN MEDICAL CLINIC, INC
Active
Organization
YORK GLEN MEDICAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADOR A BUSTAMANTE M.D. (OWNER)
(323) 254-2811
Entity
Organization
Contact information
Practice address
5417 YORK BLVD, LOS ANGELES, CA 90042-2401
(323) 254-2811
(323) 254-1788
Mailing address
5417 YORK BLVD, LOS ANGELES, CA 90042-2401
(323) 254-2811
(323) 254-1788
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A54189
CA
Other
Enumeration date
11/05/2008
Last updated
07/22/2013
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