Organization
ALLY MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS WINDY PAGUIO SALES OWNER (PRESIDENT)
(818) 441-8418
Entity
Organization
Contact information
Practice address
450 N BRAND BLVD, 600, GLENDALE, CA 91203-2347
(818) 441-4841
Mailing address
450 N BRAND BLVD, 600, GLENDALE, CA 91203-2347
(818) 441-4841
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
CA
363LF0000X
Family Nurse Practitioner
—
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
—
CA
Other
Enumeration date
10/15/2014
Last updated
07/21/2022
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