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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IVY MEDICAL CLINIC INC

Active Organization

IVY MEDICAL CLINIC INC is a General Practice organization located in GLENDALE, California. NPI 1174934400 is currently active in the NPPES registry. Verify at CMS.

General Practice · GLENDALE, CA

Registration Details

NPI Number
1174934400
Provider Type
Organization
NPI Issued
May 8, 2014 (12.283213949742 yrs)
Last Updated
May 8, 2014
License
A23122 (CA)

Practice Information

Address
705 IVY ST
GLENDALE, CA, 91204
Browse CA providers · Browse ZIP 91204
Phone
8189455523
Fax
8189455524
Primary Specialty
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.