Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glendale Premier Medical Group

Organization Family Medicine Physician · NPI 1003956715

Glendale Premier Medical Group is a Family Medicine Physician in Glendale, California. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

222 W Eulalia St #201
Glendale, CA 91204-2849
Phone: (818) 240-0601
Fax: (818) 240-0687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1003956715
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lainis Quevedo — Administrator · (818) 240-0662
NPI enumeratedFebruary 8, 2007
Last updated in NPPESAugust 22, 2020
Mailing address222 W Eulalia St, 201, Glendale, CA 91204-2849

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