# ALLY MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306240619
- **Authorized official:** MISS WINDY PAGUIO SALES OWNER (PRESIDENT)
- **Authorized official phone:** (818) 441-8418

## Contact information

- **Practice address:** 450 N BRAND BLVD, 600, GLENDALE, CA 91203-2347
- **Practice address phone:** (818) 441-4841
- **Mailing address:** 450 N BRAND BLVD, 600, GLENDALE, CA 91203-2347
- **Mailing address phone:** (818) 441-4841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | CA | — |
| 363LF0000X | Family Nurse Practitioner | — | CA | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | CA | Yes |

## Other

- **Enumeration date:** 10/15/2014
- **Last updated:** 07/21/2022