| Progressive Medical Group | |
|
1215 S Central Ave Glendale CA 91204-2503 | |
| (818) 553-0800 | |
| (818) 553-0804 |
| Full Name | Progressive Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 1215 S Central Ave, Glendale, California |
| Authorized Official Name and Position | Kevork Artin Vorperian (CEO) |
| Authorized Official Contact | 8185530800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Medical Group 1215 S Central Ave Glendale CA 91204-2503 Ph: (818) 553-0800 | Progressive Medical Group 1215 S Central Ave Glendale CA 91204-2503 Ph: (818) 553-0800 |
| NPI Number | 1962459735 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962459735 | NPI | - | NPPES |
| W19002 | Other | CA | GROUP MEDICARE ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | C050258 (California) | Primary |
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