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Ca Fidelis PC

Physical Medicine & Rehabilitation Physician in Los Angeles, CA · enumerated 2011 · authorized official Glen Halvorson, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1427325109

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Registry record

Entity type Organization (Type 2)
Legal business name Ca Fidelis PC
Practice address 11726 San Vicente Blvd, Suite 414, Los Angeles, CA, 90049
Phone (877) 408-2488
Fax (866) 776-6641
Enumeration date Nov 22, 2011
Last updated in NPPES Mar 27, 2012

Taxonomy & classification

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License G75477 (CA) Primary

Authorized official

Name Glen Halvorson
Title Medical Director
Phone (877) 408-2488

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Ca Fidelis PC?
Ca Fidelis PC is registered in NPPES as a Physical Medicine & Rehabilitation Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-03-27.