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

Toluca Lake Medical Clinic Inc

Organization Family Medicine Physician · NPI 1598657645

Toluca Lake Medical Clinic Inc provides Family Medicine Physician services in Toluca Lake, California. Registered with an NPI since 2025.

In the registry since
2025
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

4110 Cahuenga Blvd
Toluca Lake, CA 91602-2831
Phone: (747) 205-2095
Fax: (747) 205-2559
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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 number1598657645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Kim — President · (747) 205-2095
NPI enumeratedJuly 15, 2025
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing address4110 Cahuenga Blvd, Toluca Lake, CA 91602-2831

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