Active NPI
GMG Health Center
- Home Health Agency
- Glendale, CA
National Provider Identifier
1700057809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 5364
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.