Organization Active NPI

Industria Health Solutions, LLC

  • Exclusive Provider Organization
  • Glendale, CA
National Provider Identifier
1043603335
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
INDUSTRIA HEALTH SOLUTIONS, LLC
Practice address
550 N Brand Blvd FL 20
Glendale, CA 91203-1900
Phone
(818) 923-6095
NPI assigned
Mar 10, 2015
Last updated
Jun 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bobby Glover
Title
Business Manager
Phone
(818) 923-6095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

550 N Brand Blvd FL 20
Glendale, CA 91203-1900

Mailing address

550 N Brand Blvd FL 20
Glendale, CA 91203-1900
Phone (818) 923-6095

National Provider Directory

National Provider Directory

Locations

550 N Brand Blvd
Fl 20
Glendale, CA 91203
Phone (818) 923-6095

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1043603335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N BRAND BLVD FL 20",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031900",
            "telephone_number": "818-923-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N BRAND BLVD FL 20",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031900",
            "telephone_number": "818-923-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDUSTRIA HEALTH SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "818-923-6095"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.