Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Agewell Medical Group Inc

Organization Family Medicine Physician · NPI 1649142399

Agewell Medical Group Inc provides Family Medicine Physician services in Burbank, 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

142 W Verdugo Ave
Burbank, CA 91502-2132
Phone: (818) 588-3705
Fax: (818) 588-3685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1649142399
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Basem Farag — President/Md · (818) 588-3705
NPI enumeratedSeptember 22, 2025
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025
Mailing address142 W Verdugo Ave, Burbank, CA 91502-2132

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