Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ag La Crescenta Medical Clinic Inc

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1558242610

Ag La Crescenta Medical Clinic Inc provides Geriatric Medicine (Family Medicine) Physician services in LA Crescenta, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3214 Honolulu Ave
LA Crescenta, CA 91214-3327
Phone: (747) 229-2251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X

Record details

NPI number1558242610
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Burger — Ceo/ Owner · (747) 229-2251
NPI enumeratedSeptember 8, 2025
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing address3214 Honolulu Ave, La Crescenta, CA 91214-3327

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