Organization
GLEN PARK AT MONROVIA
Active
Organization
GLEN PARK AT MONROVIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TILLMAN PINK JR. (PRESIDENT)
(818) 242-9000
Entity
Organization
Contact information
Practice address
110 N MOUNTAIN AVE, MONROVIA, CA 91016-2435
(626) 357-6818
(626) 305-5339
Mailing address
1220 MARIPOSA ST, GLENDALE, CA 91205-3254
(818) 242-9000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
197802560
CA
Other
Enumeration date
09/04/2013
Last updated
07/11/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up