| Ag La Crescenta Medical Clinic Inc. | |
|
3214 Honolulu Ave La Crescenta CA 91214-3327 | |
| (747) 229-2251 | |
| Not Available |
| Full Name | Ag La Crescenta Medical Clinic Inc. |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 3214 Honolulu Ave, La Crescenta, California |
| Authorized Official Name and Position | Kevin Burger (CEO/ OWNER) |
| Authorized Official Contact | 7472292251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ag La Crescenta Medical Clinic Inc. 3214 Honolulu Ave La Crescenta CA 91214-3327 Ph: (747) 229-2251 | Ag La Crescenta Medical Clinic Inc. 3214 Honolulu Ave La Crescenta CA 91214-3327 Ph: (747) 229-2251 |
| NPI Number | 1558242610 |
|---|---|
| Provider Enumeration Date | 09/08/2025 |
| Last Update Date | 09/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558242610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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