Organization · NPI-2
Act Professional Medical Corporation
Emergency Medicine · Glendale, CA
NPI number1669386231
StatusActive
Last updated in NPPESSep 30, 2026
Details
- NPI
- 1669386231
- Entity type
- Organization (NPI-2)
- Legal business name
- Act Professional Medical Corporation
- Organization subpart
- No
- Enumeration date
- Sep 30, 2026
- Certification date
- Sep 30, 2026
- Last updated
- Sep 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Practice location
450 N Brand Blvd Ste 600Glendale, CA 91203-2349
Phone 818-476-4884
Mailing address
450 N Brand Blvd Ste 600Glendale, CA 91203-2349
Authorized official
James Hill
Practice Owner
8184764884
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