Organization · Type 2 NPI

Agewell Medical Group Inc

Family Medicine Physician · Burbank, CA

NPI number 1649142399 Active

Practice location

142 W Verdugo Ave
Burbank, CA 91502-2132

Call (818) 588-3705 Map

Fax (818) 588-3685

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1649142399

Agewell Medical Group Inc's National Provider Identifier is 1649142399, issued on Sep 22, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Burbank, CA. The record was last updated on Nov 7, 2025.