Organization · Type 2 NPI

Prestige Broadway Medical Center Inc

Geriatric Medicine (Family Medicine) Physician · Los Angeles, CA

NPI number 1134075203 Active

Practice location

2926 N Broadway
Los Angeles, CA 90031-2601

Fax (213) 433-3136

Specialties and licenses

Taxonomy	Code	License
Geriatric Medicine (Family Medicine) Physician Primary	207QG0300X	None listed

Geriatric Medicine (Family Medicine) Physician: 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.

2 other providers at this address

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About NPI 1134075203

Prestige Broadway Medical Center Inc's National Provider Identifier is 1134075203, issued on Mar 10, 2026. The primary taxonomy on file is Geriatric Medicine (Family Medicine) Physician (207QG0300X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 10, 2026.