# AUREVIA MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477464410
- **Authorized official:** ANOUSHEH ASHOURI MD (CEO)
- **Authorized official phone:** (213) 290-0757

## Contact information

- **Practice address:** 320 N CENTRAL AVE STE 100, GLENDALE, CA 91203-2961
- **Practice address phone:** (213) 290-0757
- **Practice address fax:** (626) 243-2600
- **Mailing address:** 320 N CENTRAL AVE STE 100, GLENDALE, CA 91203-2961
- **Mailing address phone:** (213) 290-0757
- **Mailing address fax:** (626) 243-2600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2026
- **Last updated:** 09/16/2026