# GLENDALE FIDELITY MEDICAL GROUP INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1801915327
- **Authorized official:** MORIS ELIE MD (DIRECTOR)
- **Authorized official phone:** (818) 242-1910

## Contact information

- **Practice address:** 815 E COLORADO ST, STE 110A, GLENDALE, CA 91205-1200
- **Practice address phone:** (818) 242-1910
- **Practice address fax:** (818) 242-1990
- **Mailing address:** 815 E COLORADO ST, STE 110A, GLENDALE, CA 91205-1200
- **Mailing address phone:** (818) 242-1910
- **Mailing address fax:** (818) 242-1990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1924 | CA | — |
| 207R00000X | Internal Medicine Physician | A64420 | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | A38702 | CA | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 09/11/2025