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General NPI Number Information
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NPI Number | 1336138403
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Entity Type | Organization
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Legal Business Name | GLENDALE ADVENTIST MEDICAL CENTER
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Dates
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Enumeration Date | 10/20/2005
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 1509 WILSON TER
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City | GLENDALE
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State | CA
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Zip | 91206-4007
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Country | US
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Telephone | 818-409-8000
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Fax | 818-546-5600
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Provider Business Mailing Address
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Address Line | 1509 WILSON TER
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City | GLENDALE
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State | CA
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Zip | 91206-4007
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Country | US
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Telephone | 818-409-8000
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Fax | 818-546-5600
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALICE H ISSAI
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Credential |
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Telephone | 818-409-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 930000059
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License Number State | CA
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