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HUNTINGTON GERIATRIC MEDICAL GROUP NPI 1265627277


NPI Information

NPI: 1265627277
Provider Name: HUNTINGTON GERIATRIC MEDICAL GROUP
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 05D1092171

Address:
2100 E COLORADO BLVD
SUITE 1
PASADENA, CA
ZIP 91107
Phone: (626) 229-9865
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HUNTINGTON GERIATRIC MEDICAL GROUP is a geriatric medicine family medicine in Pasadena, CA. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. HUNTINGTON GERIATRIC MEDICAL GROUP NPI is 1265627277. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2100 E COLORADO BLVD
SUITE 1
PASADENA, CA
ZIP 91107-545
Phone: (626) 229-9865
Fax: (626) 229-9867

The provider's authorized official is Norman Tien-yo Chien .
The authorized official title is President and has the following contact phone number (626) 229-9865.

The CLIA number assigned to this NPI record is 05D1092171 - health main. organization with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2007 and was last updated on 6/23/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineA062136CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HE356AMEDICARE PINCALIFORNIA
2W21683MEDICARE PINCALIFORNIA

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

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