Organization Active NPI

GMG Health Center

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1700057809
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
5364 Issued in CA
Legal business name
GMG HEALTH CENTER
Practice address
1125 E Broadway Avn 241
Glendale, CA 91205-1315
Phone
(818) 241-5124
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marine Tokatlyan
Title
Ceo
Phone
(818) 241-5124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 5364 CA Primary

Addresses

Primary practice location

1125 E Broadway Avn 241
Glendale, CA 91205-1315

Mailing address

1125 E Broadway # 241
1129 E Acacia Avn # B
Glendale, CA 91205-1315
Phone (818) 241-5124

Other names 1

  • Gmg Goldstar Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1700057809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E BROADWAY # 241",
            "address_2": "1129 E ACACIA AVN # B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051315",
            "telephone_number": "818-241-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E BROADWAY AVN 241",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051315",
            "telephone_number": "818-241-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GMG HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "TOKATLYAN",
        "authorized_official_first_name": "MARINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-241-5124"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "5364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gmg Goldstar",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.