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YORK GLEN MEDICAL CLINIC, INC
NPI 1265686117
Family Medicine in Los Angeles, CA

Active since November 05, 2008
5417 YORK BLVD, LOS ANGELES, CA 90042(323) 254-2811(323) 254-1788 Get Directions Write a Review

NPPES record last updated: July 22, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About York Glen Medical Clinic, Inc NPPES

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

YORK GLEN MEDICAL CLINIC, INC (NPI 1265686117) is a healthcare organization registered as a family medicine in Los Angeles, California and active in the NPI registry since November 2008. The organization lists Ador A Bustamante, Owner, as its authorized official.

NPPES Registry Identity

NPI1265686117
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameYORK GLEN MEDICAL CLINIC, INC
Location Address5417 YORK BLVDLos Angeles, CA 90042-2401
Mailing Address5417 York BlvdLos Angeles, CA 90042-2401 · (323) 254-2811 · Fax (323) 254-1788
Phone(323) 254-2811
Fax(323) 254-1788
Organization SubpartNo
Authorized OfficialAdor A BustamanteOwner · (323) 254-2811
Enumeration DateNovember 5, 2008
Last NPPES UpdateJuly 22, 2013
✔ NPI 1265686117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A54189
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5417 YORK BLVD, Los Angeles, CA 90042
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Other Identifiers 1

Medicare PINAU897CA

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 2

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

RHODA LORICA
Nurse Practitioner (Adult Health)
5417 YORK BLVD
LOS ANGELES, CA 90042
Los Angeles County (323) 254-2811
YORK FAMILY MEDICAL CLINIC INC
Family Medicine
5417 YORK BLVD
LOS ANGELES, CA 90042
Los Angeles County (323) 254-2811

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 York Glen Medical Clinic, Inc's NPI number?

The NPI number for York Glen Medical Clinic, Inc is 1265686117. It was assigned to this organization in the NPPES registry on November 5, 2008.

Where is York Glen Medical Clinic, Inc located?

York Glen Medical Clinic, Inc is located at 5417 York Blvd, Los Angeles, CA 90042. The listed phone number is (323) 254-2811.

What is York Glen Medical Clinic, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for York Glen Medical Clinic, Inc was last updated on July 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.