Organization
IDEAL HEALTH CARE AND MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARNEL MONTELOYOLA JOAQUIN MD (MEDICAL DIRECTOR)
(213) 880-3305
Entity
Organization
Contact information
Practice address
1500 S CENTRAL AVE STE 320, GLENDALE, CA 91204-2561
(818) 396-5670
(818) 396-5672
Mailing address
1500 S CENTRAL AVE STE 320, GLENDALE, CA 91204-2561
(818) 396-5670
(818) 396-5672
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0086130
—
CA
05
—
GR0086131
—
CA
Enumeration date
06/04/2006
Last updated
07/24/2026
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