Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glendale Premier Medical Group

Organization Family Medicine Physician · NPI 1003956715

Glendale Premier Medical Group provides Family Medicine Physician services in Glendale, California. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

222 W Eulalia St #201
Glendale, CA 91204-2849
Phone: (818) 240-0601
Fax: (818) 240-0687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1003956715
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lainis Quevedo — Administrator · (818) 240-0662
NPI enumeratedFebruary 8, 2007
Last updated in NPPESAugust 22, 2020
Mailing address222 W Eulalia St, 201, Glendale, CA 91204-2849

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