Organization
PEDIATRIC ASSOCIATES MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS A GLASSMAN M.D. (VICE PRESIDENT OF CORPORATION)
(818) 784-1102
Entity
Organization
Contact information
Practice address
4330 FULTON AVE, SHERMAN OAKS, CA 91423-3907
(818) 784-1102
(818) 784-1653
Mailing address
4330 FULTON AVE, SHERMAN OAKS, CA 91423-3907
(818) 784-1102
(818) 784-1653
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2006
Last updated
08/22/2020
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