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

Prima Restorative and Wellness

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1194685479

Prima Restorative and Wellness is a Geriatric Medicine (Family Medicine) Physician in Glendale, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

309 W Broadway
Glendale, CA 91204-1301
Phone: (310) 993-9691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X

Record details

NPI number1194685479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Ryan Miguel Aguirre — Ceo · (310) 993-9691
NPI enumeratedNovember 18, 2025
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing address309 W Broadway, Glendale, CA 91204-1301

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