Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Glendale Community Medical Group Inc

Organization Specialist · NPI 1013102854

Glendale Community Medical Group Inc provides Specialist services in Glendale, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

801 S Chevy Chase Dr 105
Glendale, CA 91205-4431 Not confirmed with CMS for 18 years — call before visiting
Phone: (818) 265-2203
Fax: (818) 265-2201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A45958 (CA)

Record details

NPI number1013102854
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Duc Bui — President · (818) 265-2203
NPI enumeratedSeptember 13, 2007
Last updated in NPPESDecember 26, 2007
Mailing address801 S Chevy Chase Dr, 105, Glendale, CA 91205-4431

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