Provider Demographics
NPI:1124570437
Name:GLB MEDICAL CONSULTING, INC
Entity type:Organization
Organization Name:GLB MEDICAL CONSULTING, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:BLANKINSHIP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-568-9225
Mailing Address - Street 1:10153 1/2 RIVERSIDE DR UNIT 415
Mailing Address - Street 2:
Mailing Address - City:TOLUCA LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:91602-2561
Mailing Address - Country:US
Mailing Address - Phone:301-442-4150
Mailing Address - Fax:
Practice Address - Street 1:18333 DOLAN WAY
Practice Address - Street 2:SUITE 208
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91387
Practice Address - Country:US
Practice Address - Phone:301-442-4150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-03
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty