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

York Glen Medical Clinic, Inc

Organization Family Medicine Physician · NPI 1265686117

York Glen Medical Clinic, Inc is a Family Medicine Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
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

5417 York Blvd
Los Angeles, CA 90042-2401
Phone: (323) 254-2811
Fax: (323) 254-1788
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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 · Licence A54189 (CA)

Record details

NPI number1265686117
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ador Bustamante — Owner · (323) 254-2811
NPI enumeratedNovember 5, 2008
Last updated in NPPESJuly 22, 2013
Mailing address5417 York Blvd, Los Angeles, CA 90042-2401

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