CORE GERIATRIC MEDICAL GROUP LLC
NPI 1417445487
Physician Assistant - Medical in Glendale, CA

Q: What is Core Geriatric Medical Group LLC's NPI number?

The NPI number for Core Geriatric Medical Group LLC is 1417445487. It was assigned to this organization in the NPPES registry on April 25, 2018.

Q: What is Core Geriatric Medical Group LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since April 25, 2018

1505 S GLENDALE AVE, GLENDALE, CA 91205(818) 758-9588(818) 975-5217 Get Directions Write a Review

NPPES record last updated: April 25, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Core Geriatric Medical Group Llc NPPES

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

CORE GERIATRIC MEDICAL GROUP LLC (NPI 1417445487) is a healthcare organization registered as a medical in Glendale, California and active in the NPI registry since April 2018. The organization lists Christine Ayvazyan, Owner, as its authorized official.

NPPES Registry Identity

NPI1417445487

Entity TypeOrganization

Primary Taxonomy363AM0700X

Legal Business NameCORE GERIATRIC MEDICAL GROUP LLC

Location Address1505 S GLENDALE AVEGlendale, CA 91205-3315

Mailing Address1505 S Glendale AveGlendale, CA 91205-3315 · (818) 758-9588 · Fax (818) 975-5217

Phone(818) 758-9588

Fax(818) 975-5217

Organization SubpartNo

Authorized OfficialChristine AyvazyanOwner · (818) 723-8804

Enumeration DateApril 25, 2018

✔ NPI 1417445487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

1505 S GLENDALE AVE, Glendale, CA 91205

Open in Google Maps ↗

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 Core Geriatric Medical Group LLC's NPI number?

The NPI number for Core Geriatric Medical Group LLC is 1417445487. It was assigned to this organization in the NPPES registry on April 25, 2018.

Where is Core Geriatric Medical Group LLC located?

Core Geriatric Medical Group LLC is located at 1505 S Glendale Ave, Glendale, CA 91205. The listed phone number is (818) 758-9588.

What is Core Geriatric Medical Group LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Core Geriatric Medical Group LLC was last updated on April 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.