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

Toluca Lake Medical Clinic Inc

Organization Family Medicine Physician · NPI 1598657645

Toluca Lake Medical Clinic Inc is a Family Medicine Physician in Toluca Lake, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4110 Cahuenga Blvd
Toluca Lake, CA 91602-2831
Phone: (747) 205-2095
Fax: (747) 205-2559
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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 number1598657645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Kim — President · (747) 205-2095
NPI enumeratedJuly 15, 2025
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing address4110 Cahuenga Blvd, Toluca Lake, CA 91602-2831

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