Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Agewell Medical Group Inc

Organization Family Medicine Physician · NPI 1649142399

Agewell Medical Group Inc is a Family Medicine Physician in Burbank, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

142 W Verdugo Ave
Burbank, CA 91502-2132
Phone: (818) 588-3705
Fax: (818) 588-3685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1649142399
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Basem Farag — President/Md · (818) 588-3705
NPI enumeratedSeptember 22, 2025
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025
Mailing address142 W Verdugo Ave, Burbank, CA 91502-2132

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