CORE GERIATRIC MEDICAL GROUP INC – NPI #1578205795
Internal Medicine

An internist who has 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.

CORE GERIATRIC MEDICAL GROUP INC is a provider located in GLENDALE, CA. NPPES has assigned the NPI number 1578205795 to CORE GERIATRIC MEDICAL GROUP INC on April 08, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 4 years ago on Apr 23, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CORE GERIATRIC MEDICAL GROUP INC below.

NPI Profile for
CORE GERIATRIC MEDICAL GROUP INC

NPI Number
1578205795
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CORE GERIATRIC MEDICAL GROUP INC
Primary location
214 N CENTRAL AVE
GLENDALE, CA 91203-3556
Phone: (818) 758-9588 Fax: (818) 975-5217
Mailing address
8306 WILSHIRE BLVD # 1004
BEVERLY HILLS, CA 90211-2304
Phone: (818) 758-9588 Fax: (818) 975-5217
Organization Subpart
No
Authorized Official
CHRISTINE AYVAZYAN
PHYSICIAN ASSISTANT
Phone: (818) 723-8804
Updated
Certification Date
Apr 23, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.