MEDWISE MEDICAL CLINIC, INC
NPI 1609813096
General Practice in Glendale, CA

Active since June 02, 2006
540 N CENTRAL AVE, SUITE 203, GLENDALE, CA 91203(818) 242-0500 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medwise Medical Clinic, Inc NPPES

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

MEDWISE MEDICAL CLINIC, INC (NPI 1609813096), doing business as Medwise Medical Clinic, is a healthcare organization registered as a general practice in Glendale, California and active in the NPI registry since June 2006. The organization lists Shaliman Eivazzadeh, Owner, as its authorized official.

NPPES Registry Identity

NPI1609813096
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEDWISE MEDICAL CLINIC, INC
Location Address540 N CENTRAL AVE, SUITE 203Glendale, CA 91203-1916
Mailing AddressPo Box 601Glendale, CA 91209-0601 · (818) 242-0500
Organization SubpartNo
Authorized OfficialShaliman EivazzadehOwner · (818) 242-0500
Enumeration DateJune 2, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1609813096 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 · A42072
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
540 N CENTRAL AVE, Glendale, CA 91203

Other Names 1

Former Legal Business NameMedwise Medical Clinic

Other Identifiers 1

Medicaid00A420721CA

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 14

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

Dentist (General Practice)
540 N CENTRAL AVE, SUITE 209
GLENDALE, CA 91203
Dentist (General Practice)
540 N CENTRAL AVE, SUITE 108
GLENDALE, CA 91203
Anesthesiology (Pain Medicine)
540 N CENTRAL AVE, 205
GLENDALE, CA 91203
Anesthesiology (Pain Medicine)
540 N CENTRAL AVE, 205
GLENDALE, CA 91203
Dentist (General Practice)
540 N CENTRAL AVE, STE 204
GLENDALE, CA 91203
Psychiatry & Neurology (Neurology)
540 N CENTRAL AVE, SUITE# 302
GLENDALE, CA 91203
Acupuncturist
540 N CENTRAL AVE, #203
GLENDALE, CA 91203
Internal Medicine (Gastroenterology)
540 N CENTRAL AVE, STE 110
GLENDALE, CA 91203

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 Medwise Medical Clinic, Inc's NPI number?

The NPI number for Medwise Medical Clinic, Inc is 1609813096. It was assigned to this organization in the NPPES registry on June 2, 2006. The provider was formerly known as Medwise Medical Clinic.

Where is Medwise Medical Clinic, Inc located?

Medwise Medical Clinic, Inc is located at 540 N Central Ave Suite 203, Glendale, CA 91203. The listed phone number is (818) 242-0500.

What is Medwise 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 Medwise Medical Clinic, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.