OrganizationActive
Clinical Intervention Group, LLC
NPI 1063695690 · Geriatric Pharmacist · Glendale, CA
Provider details
- NPI number
- 1063695690
- Entity type
- Organization
- Primary specialty
- Geriatric PharmacistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Esan Forde, Chief Operating Officer(888) 674-6060
Specialties & taxonomies
Pharmacy Service Providers
Practice location
801 N Brand Blvd
Suite 630
Glendale, CA 91203-1237
Phone: (888) 674-6060
Approximate (ZIP-level) locationGet directions
Mailing address
801 N Brand Blvd
Glendale, CA 91203-1237
Registry dates
- Enumerated
- 2007-12-05
- Last updated
- 2007-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.