Organization
GLENDORA MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PLARIDEL CERNA ATIL M.D. (OWNER/PRESIDENT)
(626) 335-0208
Entity
Organization
Contact information
Practice address
405 E. ALOSTA, GLENDORA, CA 91740
(626) 335-0208
(626) 857-9418
Mailing address
PO BOX 1433, GLENDORA, CA 91740-1433
(626) 335-0208
(626) 857-9418
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A25167
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A251670
—
CA
Enumeration date
09/24/2007
Last updated
09/24/2007
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