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Progressive Medical Group
General Practice Physician in Glendale, California
NPI 1962459735

Progressive Medical Group is a General Practice Physician based in Glendale, CA. Progressive Medical Group practices in Glendale, CA. The NPI Number for Progressive Medical Group is 1962459735 and holds a License No. C050258 (California).

The current practice location address for Progressive Medical Group is 1215 S Central Ave, Glendale, CA and can be reached out via phone at 818-553-0800 and via fax at 818-553-0804.

Location: 1215 S Central Ave, Glendale, CA, 91204-2503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962459735
Provider Name
Progressive Medical Group
Credential
Provider Entity Type
Organization
Address
1215 S Central Ave, Glendale, CA, 91204-2503
Phone Number
818-553-0800
Fax Number
818-553-0804
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W19002 01 CA GROUP MEDICARE ID NUMBER
institution
Provider Business Practice Location Address Details
Address
1215 S Central Ave
City
Glendale
State
California
Zip
91204-2503
Phone Number
818-553-0800
Fax Number
818-553-0804
person
Provider Business Mailing Address Details
Address
1215 S Central Ave
City
Glendale
State
California
Zip
91204-2503
Phone Number
818-553-0800
Fax Number
818-553-0804
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
C050258 (California)
Definition
Definition to come...
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