Active NPI
Glenmountain Medical Group Inc
- Family Medicine Physician
- Los Angeles, CA
National Provider Identifier
1750428264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.