Organization · Type 2 NPI
Practice of Medicine
Geriatric Medicine (Family Medicine) Physician · Eagle Rock, CA
Practice location
2607 Colorado Blvd Ste 200
Eagle Rock, CA 90041-1086
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.
About NPI 1629922083
Practice of Medicine's National Provider Identifier is 1629922083, issued on Feb 23, 2026. The primary taxonomy on file is Geriatric Medicine (Family Medicine) Physician (207QG0300X), and the practice location is in Eagle Rock, CA. The record was last updated on Sep 15, 2026.