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

Ivy Medical Clinic Inc

Organization General Practice Physician · NPI 1174934400

Ivy Medical Clinic Inc is a General Practice Physician in Glendale, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

705 Ivy St
Glendale, CA 91204
Phone: (818) 945-5523
Fax: (818) 945-5524
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence A23122 (CA)

Record details

NPI number1174934400
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Omar Espinosa — President/Ceo · (818) 945-5523
NPI enumeratedMay 8, 2014
Last updated in NPPESMay 8, 2014
Mailing address705 A Ivy St, Glendale, CA 91204

Other providers in Glendale