Glendale Mutual Care Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A98448 Issued in CA

Legal business name

GLENDALE MUTUAL CARE CLINIC

Practice address

230 N Maryland Ave
Suite 105
Glendale, CA 91206-4261

Phone

(626) 616-6642

NPI assigned

Jul 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jarlath Noel Ryan, M.D.NPI 1639360449

Title

President

Phone

(626) 646-8233

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jarlath N. Ryan, M.D.

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1639360449
  NPD (past) Authorized official
• Manuel P Momjian, MD

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1609060185
  NPD (past)

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

{
    "created_epoch": "1217116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217116800000",
    "number": "1972768158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10717",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912093717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N MARYLAND AVE",
            "address_2": "SUITE 105",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064261",
            "telephone_number": "626-616-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE MUTUAL CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-27",
        "last_updated": "2008-07-27",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "JARLATH",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-646-8233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A98448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glendale Luxury Rehab LLC
• Glendale Medical Arts Center Pharmacy Inc. (Glendale Medical Pharmacy)
• Glendale Medical Gear
• Glendale Medical Imaging Associates Inc
• Glendale Multi-Specialty Surgery Center, LLC (Glendale Outpatient Surgery Center)
• Glendale Nephrology Services, LLC (Glendale Kidney Center)
• Glendale Ophthalmology ASC LP (Glendale Eye Surgery Center)
• Glendale Optometric Center
• Glendale Optometry
• Glendale Orthopaedics Inc.

• Primary Care Clinic/Center in Glendale, CA
• Providers in Glendale, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2008; 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.