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Organization

GLENDALE FIDELITY MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MORIS ELIE MD (DIRECTOR)
(818) 242-1910
Entity
Organization

Contact information

Practice address
815 E COLORADO ST, STE 110A, GLENDALE, CA 91205-1200
(818) 242-1910
(818) 242-1990
Mailing address
815 E COLORADO ST, STE 110A, GLENDALE, CA 91205-1200
(818) 242-1910
(818) 242-1990

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1924
CA
207R00000X
Internal Medicine Physician
A64420
CA
207X00000X
Orthopaedic Surgery Physician
Primary
A38702
CA

Other

Enumeration date
03/28/2007
Last updated
09/11/2025
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