GRACEFUL AGING MEDICAL SERVICES CA PC NPI 1144128588

NPI Information

  • NPI: 1144128588
  • Provider Name: GRACEFUL AGING MEDICAL SERVICES CA PC
  • Classification: Rehabilitation Practitioner - 225400000X
  • Entity Type: Organization
  • Address: 340 ARDEN AVE STE 243
    GLENDALE, CA
    ZIP 91203
  • Phone: (212) 201-1252

Map and Directions

Get Directions

NPI Details

GRACEFUL AGING MEDICAL SERVICES CA PC is a rehabilitation practitioner in Glendale, CA. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. GRACEFUL AGING MEDICAL SERVICES CA PC NPI is 1144128588. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

340 ARDEN AVE STE 243
GLENDALE, CA
ZIP 91203-102
Phone: (212) 201-1252

The provider's authorized official is Sonika Randev .
The authorized official title is Ceo and has the following contact phone number (212) 201-1252.

The enumeration date for this NPI number is 10/27/2026 and was last updated on 10/27/2026.

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
1225400000XRehabilitation PractitionerYes

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: 11/21/2025

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.