Family Practice Of Glendale A Medical Corporation in Glendale - Geriatric Medicine

Family Practice Of Glendale A Medical Corporation - NPI 1801851043

Family Practice Of Glendale A Medical Corporation is a Geriatric Medicine in Glendale, California. Family Practice Of Glendale A Medical Corporation practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Family Practice Of Glendale A Medical Corporation is 1801851043. The last update date is 2020-04-14.

Family Practice Of Glendale A Medical Corporation's current location address is 1125 E Broadway, Glendale, California. You can contact this provider via phone number 8185005586 and fax number 8185005583. The mailing address for Family Practice Of Glendale A Medical Corporation is 1125 E Broadway, Glendale, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Family Practice Of Glendale A Medical Corporation
Address 1125 E Broadway, Glendale, California
Phone Number 8185005586
Fax Number 8185005583
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PROGRAM DI
Authorized Official Name Khanoyan Sirvard
Credentials MD
Telephone Number 8184457143

NPI Number Detail

NPI Number 1801851043
Provider Enumeration Date 2006-04-19
Last Updated Date 2020-04-14

Provider Mailing Address Detail

Address 1125 E Broadway
City Glendale
State California (CA)
Post Code 912051315
Phone Number 8185005586
Fax Number 8185005583

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Qg0300X
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GR0044711 CA --
GR0044710 CA --

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FAQs about Family Practice Of Glendale A Medical Corporation

What is the Family Practice Of Glendale A Medical Corporation's unique identification number?

The Family Practice Of Glendale A Medical Corporation has been assigned the NPI (National Provider Identifier) Number 1801851043 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Family Practice Of Glendale A Medical Corporation is physically located?

The Family Practice Of Glendale A Medical Corporation is situated at the following address: 1125 E Broadway, Glendale, CA 912051315.

What is the Family Practice Of Glendale A Medical Corporation's specialty and taxonomy code?

The Family Practice Of Glendale A Medical Corporation's specialty is Geriatric Medicine, and the corresponding taxonomy code is 207Qg0300X.

When did the Family Practice Of Glendale A Medical Corporation receive its 1801851043?

The Family Practice Of Glendale A Medical Corporation was issued its 1801851043 on 2006-04-19, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Family Practice Of Glendale A Medical Corporation last refreshed?

The information related to the Family Practice Of Glendale A Medical Corporation, including its address, specialty, and other relevant details, was last updated on 2020-04-14.

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