Organization · Type 2 NPI

Prima Restorative and Wellness

Geriatric Medicine (Family Medicine) Physician · Glendale, CA

NPI number 1194685479 Active

Practice location

309 W Broadway
Glendale, CA 91204-1301

Specialties and licenses

TaxonomyCodeLicense
Geriatric Medicine (Family Medicine) Physician Primary 207QG0300XNone 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.

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About NPI 1194685479

Prima Restorative and Wellness's National Provider Identifier is 1194685479, issued on Nov 18, 2025. The primary taxonomy on file is Geriatric Medicine (Family Medicine) Physician (207QG0300X), and the practice location is in Glendale, CA. The record was last updated on Nov 18, 2025.