Organization
PROGRESSIVE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVORK ARTIN VORPERIAN MD (CEO)
(818) 553-0800
Entity
Organization
Contact information
Practice address
1215 S CENTRAL AVE, GLENDALE, CA 91204-2503
(818) 553-0800
(818) 553-0804
Mailing address
1215 S CENTRAL AVE, GLENDALE, CA 91204-2503
(818) 553-0800
(818) 553-0804
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C050258
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W19002
GROUP MEDICARE ID NUMBER
CA
Enumeration date
05/27/2006
Last updated
08/22/2020
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