Organization
FAMILY MEDICINE PHYSICIANS OF GLENDALE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROZELLA KNOX M.D. (PRESIDENT)
(818) 254-1500
Entity
Organization
Contact information
Practice address
1510 S CENTRAL AVE, SUITE 300, GLENDALE, CA 91204-2500
(818) 254-1500
(818) 244-4830
Mailing address
1510 S CENTRAL AVE, SUITE 300, GLENDALE, CA 91204-2500
(818) 254-1500
(818) 244-4830
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0066863
—
CA
Enumeration date
06/18/2006
Last updated
06/24/2009
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