IVY MEDICAL CLINIC INC
NPI 1174934400
General Practice in Glendale, CA

Q: What is Ivy Medical Clinic Inc's NPI number?

The NPI number for Ivy Medical Clinic Inc is 1174934400. It was assigned to this organization in the NPPES registry on May 8, 2014.

Q: What is Ivy Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since May 08, 2014

705 IVY ST, GLENDALE, CA 91204(818) 945-5523(818) 945-5524 Get Directions Write a Review

NPPES record last updated: May 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ivy Medical Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVY MEDICAL CLINIC INC (NPI 1174934400) is a healthcare organization registered as a general practice in Glendale, California and active in the NPI registry since May 2014. The organization lists Omar Eduardo Espinosa, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1174934400

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameIVY MEDICAL CLINIC INC

Location Address705 IVY STGlendale, CA 91204

Mailing Address705 A Ivy StGlendale, CA 91204 · (818) 945-5523 · Fax (818) 945-5524

Phone(818) 945-5523

Fax(818) 945-5524

Organization SubpartNo

Authorized OfficialOmar Eduardo EspinosaPresident/ceo · (818) 945-5523

Enumeration DateMay 8, 2014

✔ NPI 1174934400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · A23122

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

705 IVY ST, Glendale, CA 91204

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Other Identifiers 1

Medicare OSCAR/certificationA23122CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KHT CARE PLUS GROUP INC

Anesthesiology (Pain Medicine)

705 IVY ST
GLENDALE, CA 91204

Los Angeles County (818) 637-4838

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivy Medical Clinic Inc's NPI number?

The NPI number for Ivy Medical Clinic Inc is 1174934400. It was assigned to this organization in the NPPES registry on May 8, 2014.

Where is Ivy Medical Clinic Inc located?

Ivy Medical Clinic Inc is located at 705 Ivy St, Glendale, CA 91204. The listed phone number is (818) 945-5523.

What is Ivy Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Ivy Medical Clinic Inc was last updated on May 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.