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Contact Information

PRIMARY GERONTOLOGY CENTER LLC
4216 EVERGREEN LN STE 125
ANNANDALE, VA22003-3256
 Phone: 571-206-1650
 Fax: 703-662-6165
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PRIMARY GERONTOLOGY CENTER LLC

NPI # 1215425384
LBN Legal business name PRIMARY GERONTOLOGY CENTER LLC
Authorized official JIHO CHOI - (OWNER/STAFF PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 04/24/2018
Last updated 03/14/2026 - About 3 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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