Organization Active NPI

Glenmountain Medical Group Inc

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1750428264
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GLENMOUNTAIN MEDICAL GROUP INC
Practice address
3467 Whittier Blvd
First Floor
Los Angeles, CA 90023-1707
Phone
(323) 268-1785
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Harry Elshire Sr, M.D.
Title
Director
Phone
(323) 268-1785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3467 Whittier Blvd
First Floor
Los Angeles, CA 90023-1707

Mailing address

417 W Foothill Blvd Ste B
# 482
Glendora, CA 91741-5301
Phone (323) 268-1785

National Provider Directory

National Provider Directory

Locations

417 W Foothill Blvd
Ste B
Glendora, CA 91741

3467 Whittier Blvd
Fl First
Los Angeles, CA 90023
Phone (323) 268-1785

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750428264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 W FOOTHILL BLVD STE B",
            "address_2": "# 482",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917415301",
            "telephone_number": "323-268-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3467 WHITTIER BLVD",
            "address_2": "FIRST FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231707",
            "telephone_number": "323-268-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENMOUNTAIN MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELSHIRE SR",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "323-268-1785",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.