Provider Type Icon

CORE GERIATRIC MEDICAL GROUP INC NPI 1578205795


NPI Information

NPI: 1578205795
Provider Name: CORE GERIATRIC MEDICAL GROUP INC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
214 N CENTRAL AVE
GLENDALE, CA
ZIP 91203
Phone: (818) 758-9588
Get Directions

CORE GERIATRIC MEDICAL GROUP INC is a geriatric medicine internal medicine in Glendale, CA. The provider is an internist who has 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. CORE GERIATRIC MEDICAL GROUP INC NPI is 1578205795. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

214 N CENTRAL AVE
GLENDALE, CA
ZIP 91203-556
Phone: (818) 758-9588
Fax: (818) 975-5217

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

The enumeration date for this NPI number is 4/8/2022 and was last updated on 4/23/2022.


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
1207RG0300XInternal MedicineGeriatric MedicineYes

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

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.