Organization
CORE GERIATRIC MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE AYVAZYAN PA (PHYSICIAN ASSISTANT)
(818) 723-8804
Entity
Organization
Contact information
Practice address
214 N CENTRAL AVE, GLENDALE, CA 91203-3556
(818) 758-9588
(818) 975-5217
Mailing address
8306 WILSHIRE BLVD # 1004, BEVERLY HILLS, CA 90211-2304
(818) 758-9588
(818) 975-5217
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
04/23/2022
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