# JAMES MCCAFFERY MD A PROFESSIONAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JAMES MCCAFFERY MD A MEDICAL CORP
- **Other names:** Glendale Eye Medical Group, Inc.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750580940
- **Legal business name:** JAMES MCCAFFERY MD A MEDICAL CORP
- **Authorized official:** CANDY SORGANI (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (818) 956-1010

## Contact information

- **Practice address:** 14124 FOOTHILL BOULEVARD, SYLMAR, CA 91342-8049
- **Practice address phone:** (818) 364-8181
- **Practice address fax:** (818) 364-8185
- **Mailing address:** 14124 FOOTHILL BOULEVARD, SYLMAR, CA 91342-8049
- **Mailing address phone:** (818) 364-8181
- **Mailing address fax:** (818) 364-8185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2007
- **Last updated:** 01/23/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0098290 | — | CA |
| 05 | — | GSD004670 | — | CA |
| 05 | — | ZZZ75843Z CA | — | CA |