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Reference code:

Glendale Memorial Physician Pre-Application

Thank you for your interest in employment at Dignity Health – Glendale Memorial Hospital. Please fill out this Physician Pre-Application and submit along with the following supporting documentation:

  • Copy of current California license to practice medicine
  • Copy of government-issued picture ID card (i.e. driver’s license)
  • Evidence of Board Certification or active candidacy
  • Copy of narcotics registration certificate (DEA certificate)
  • Copy of current certificate of malpractice insurance coverage with minimum limit of $1 million per occurrence/$3 million aggregate
  • Copy of ECFMG certificate (if foreign medical school graduate)
  • Curriculum vitae
  • Signature of staff member willing to provide emergency coverage

Please submit via mail, email or fax. Questions? Please call 818.502.2317.

Mailing Address

Medical Staff Administration
1420 South Central Avenue
Glendale, CA 91204

Email: tbd

Fax: 818.502.4738