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

York Glen Medical Clinic, Inc

Organization Family Medicine Physician · NPI 1265686117

York Glen Medical Clinic, Inc provides Family Medicine Physician services in Los Angeles, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
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

5417 York Blvd
Los Angeles, CA 90042-2401 Not confirmed with CMS for 13 years — call before visiting
Phone: (323) 254-2811
Fax: (323) 254-1788
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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 · Licence A54189 (CA)

Record details

NPI number1265686117
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ador Bustamante — Owner · (323) 254-2811
NPI enumeratedNovember 5, 2008
Last updated in NPPESJuly 22, 2013
Mailing address5417 York Blvd, Los Angeles, CA 90042-2401

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