| Aurevia Medical Group | |
|
320 N Central Ave Ste 100 Glendale CA 91203-2961 | |
| (213) 290-0757 | |
| (626) 243-2600 |
| Full Name | Aurevia Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 320 N Central Ave Ste 100, Glendale, California |
| Authorized Official Name and Position | Anousheh Ashouri (CEO) |
| Authorized Official Contact | 2132900757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aurevia Medical Group 320 N Central Ave Ste 100 Glendale CA 91203-2961 Ph: (213) 290-0757 | Aurevia Medical Group 320 N Central Ave Ste 100 Glendale CA 91203-2961 Ph: (213) 290-0757 |
| NPI Number | 1477464410 |
|---|---|
| Provider Enumeration Date | 09/16/2026 |
| Last Update Date | 09/16/2026 |
| Certification Date | 09/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477464410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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