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

Core Geriatric Medical Group LLC

Organization Medical Physician Assistant · NPI 1417445487

Core Geriatric Medical Group LLC provides Medical Physician Assistant services in Glendale, California. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1505 S Glendale Ave
Glendale, CA 91205-3315
Phone: (818) 758-9588
Fax: (818) 975-5217
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1417445487
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christine Ayvazyan — Owner · (818) 723-8804
NPI enumeratedApril 25, 2018
Last updated in NPPESApril 25, 2018
Mailing address1505 S Glendale Ave, Glendale, CA 91205-3315

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