Organization · Type 2 NPI
Core Geriatric Medical Group LLC
Medical Physician Assistant · Glendale, CA
NPI number
1417445487
Active
Practice location
1505 S Glendale Ave
Glendale, CA 91205-3315
Fax (818) 975-5217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
About NPI 1417445487
Core Geriatric Medical Group LLC's National Provider Identifier is 1417445487, issued on Apr 25, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Glendale, CA. The record was last updated on Apr 25, 2018.