PROGRESSIVE MEDICAL GROUP NPI 1962459735

NPI Information

NPI: 1962459735
Provider Name: PROGRESSIVE MEDICAL GROUP
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1215 S CENTRAL AVE
GLENDALE, CA
ZIP 91204
Phone: (818) 553-0800
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PROGRESSIVE MEDICAL GROUP is a general practice in Glendale, CA. PROGRESSIVE MEDICAL GROUP NPI is 1962459735. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1215 S CENTRAL AVE
GLENDALE, CA
ZIP 91204-503
Phone: (818) 553-0800
Fax: (818) 553-0804

The provider's authorized official is Kevork Artin Vorperian .
The authorized official title is Ceo and has the following contact phone number (818) 553-0800.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 8/22/2020.

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	208D00000X	General Practice		C050258	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W19002	OTHER	CALIFORNIA	GROUP MEDICARE ID NUMBER

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: 11/14/2023

NPI Synchronization or Removal

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