GLENVILLE MEDICAL GROUP, A MEDICAL CORPORATION is a non pharmacy dispensing site in Los Angeles, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) GLENVILLE MEDICAL GROUP, A MEDICAL CORPORATION NPI is 1932395092. The provider is registered as an organization entity type.
The provider's business location address is:
1531 GLENVILLE DR
LOS ANGELES, CA
ZIP 90035-107
Phone: (310) 551-2750
The provider's authorized official is Joy Vernon .
The authorized official title is Biller and has the following contact phone number (310) 551-2750.
The enumeration date for this NPI number is 9/21/2007 and was last updated on 12/26/2007.