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

Glendale Community Medical Group, Inc

Organization Nephrology Physician · NPI 1679564934

Glendale Community Medical Group, Inc provides Nephrology Physician services in Glendale, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
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 Ste 105
Glendale, CA 91205-4431 Not confirmed with CMS for 15 years — call before visiting
Phone: (818) 265-2204
Fax: (818) 265-2201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 23056633 (CA)

Record details

NPI number1679564934
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Duc Bui — President · (818) 265-2204
NPI enumeratedNovember 3, 2005
Last updated in NPPESFebruary 9, 2011
Mailing address801 S Chevy Chase Dr, Suite 105, Glendale, CA 91205-4431

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