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California Specialty Medical Group
General Practice Physician in Glendale, California
NPI 1396991766

California Specialty Medical Group is a General Practice Physician based in Glendale, CA. California Specialty Medical Group practices in Glendale, CA. The NPI Number for California Specialty Medical Group is 1396991766 and holds a License No. (California).

The current practice location address for California Specialty Medical Group is 213 N Orange St, Glendale, CA and can be reached out via phone at 818-660-2647 and via fax at 323-297-5220.

Location: 213 N Orange St, Glendale, CA, 91203-2648
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396991766
Provider Name
California Specialty Medical Group
Credential
Provider Entity Type
Organization
Address
213 N Orange St, Glendale, CA, 91203-2648
Phone Number
818-660-2647
Fax Number
323-297-5220
Provider Enumeration Date
08/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1386684124 01 CA NPI
institution
Provider Business Practice Location Address Details
Address
213 N Orange St
City
Glendale
State
California
Zip
91203-2648
Phone Number
818-660-2647
Fax Number
323-297-5220
person
Provider Business Mailing Address Details
Address
213 N Orange St
City
Glendale
State
California
Zip
91203-2648
Phone Number
818-660-2647
Fax Number
323-297-5220
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Geriatric Psychiatry
Taxonomy
2084P0805X
License No.
A87782 (California)
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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