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PRIMA RESTORATIVE AND WELLNESS
NPI 1194685479
Family Medicine - Geriatric Medicine in Glendale, CA

Active since November 18, 2025
309 W BROADWAY, GLENDALE, CA 91204(310) 993-9691 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prima Restorative And Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIMA RESTORATIVE AND WELLNESS (NPI 1194685479) is a healthcare organization registered as a geriatric medicine in Glendale, California and active in the NPI registry since November 2025. The organization lists Anthony Ryan Miguel Aguirre, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194685479
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NamePRIMA RESTORATIVE AND WELLNESS
Location Address309 W BROADWAYGlendale, CA 91204-1301
Mailing Address309 W BroadwayGlendale, CA 91204-1301
Phone(310) 993-9691
Organization SubpartNo
Authorized OfficialAnthony Ryan Miguel AguirreCeo · (310) 993-9691
Enumeration DateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1194685479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
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 home, the office, long-term care settings such as nursing homes, and the hospital.
309 W BROADWAY, Glendale, CA 91204
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prima Restorative And Wellness's NPI number?

The NPI number for Prima Restorative And Wellness is 1194685479. It was assigned to this organization in the NPPES registry on November 18, 2025.

Where is Prima Restorative And Wellness located?

Prima Restorative And Wellness is located at 309 W Broadway, Glendale, CA 91204. The listed phone number is (310) 993-9691.

What is Prima Restorative And Wellness's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Prima Restorative And Wellness was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.