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NPI Code Detail

MEDICARE: MEDCARE SERVICES INC

MEDICARE: MEDCARE SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0003XCommunity/Retail PharmacyPHY44178CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PHY61422OTHERCABOP

General Provider Information

NPI Number : 1912004755
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDCARE SERVICES INC
Provider Business Mailing Address
First Line : 1108 1/2 W GLENOAKS BLVD
Second Line :
City : GLENDALE
State : CA
Zip : 91202-2606
Country : US
Telephone Number : 818-551-0102
Fax Number : 818-551-0106
Provider Business Practice Location Address
First Line : 1108 1/2 W GLENOAKS BLVD
Second Line :
City : GLENDALE
State : CA
Zip : 91202-2606
Country : US
Telephone Number : 818-551-0102
Fax Number : 818-551-0106
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MINAS BAMBALYAN
Credential :
Telephone Number : 818-551-0102
Provider Enumeration Date : 09/20/2006
Last Update Date : 05/06/2026

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Directions to “MEDCARE SERVICES INC ” Practice Location

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