CORE GERIATRIC MEDICAL GROUP LLC NPI 1417445487

NPI Information

NPI: 1417445487
Provider Name: CORE GERIATRIC MEDICAL GROUP LLC
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
1505 S GLENDALE AVE
GLENDALE, CA
ZIP 91205
Phone: (818) 758-9588
Get Directions

CORE GERIATRIC MEDICAL GROUP LLC is a medical physician assistant in Glendale, CA. CORE GERIATRIC MEDICAL GROUP LLC NPI is 1417445487. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1505 S GLENDALE AVE
GLENDALE, CA
ZIP 91205-315
Phone: (818) 758-9588
Fax: (818) 975-5217

The provider's authorized official is Christine Ayvazyan .
The authorized official title is Owner and has the following contact phone number (818) 723-8804.

The enumeration date for this NPI number is 4/25/2018 and was last updated on 4/25/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »