| NPI | 1710962865 |
|---|---|
| Doing Business As | GLENDALE EYE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE CRUZ Practice Administrator 818-956-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2022-10-10 |