# PROHEALTH-GLENDALE OCCUPATIONAL MEDICAL GRP.

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

## Provider details

- **NPI number:** 1962679431
- **Authorized official:** DR. SOHEIL S YOUNAI M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (818) 246-4800

## Contact information

- **Practice address:** 222 W. EULALIA STREET, SUITE 101, GLENDALE, CA 91204
- **Practice address phone:** (818) 246-4800
- **Practice address fax:** (818) 246-4805
- **Mailing address:** 222 W. EULALIA STREET, SUITE 101, GLENDALE, CA 91204
- **Mailing address phone:** (818) 246-4800
- **Mailing address fax:** (818) 246-4805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 20A6596 | CA | — |
| 261QC1800X | Corporate Health Clinic/Center | 20A6596 | CA | — |
| 261QE0002X | Emergency Care Clinic/Center | 20A6596 | CA | — |
| 261QP2000X | Physical Therapy Clinic/Center | 20A6596 | CA | — |
| 261QP2300X | Primary Care Clinic/Center | 20A6596 | CA | — |
| 261QU0200X | Urgent Care Clinic/Center | 20A6596 | CA | — |
| 261QX0100X | Occupational Medicine Clinic/Center | 20A6596 | CA | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | CA | Yes |

## Other

- **Enumeration date:** 05/13/2008
- **Last updated:** 10/27/2016