MEDICAL CLINIC AND SURGICAL SPECIALITIES OF GLENDALE (NPI# 1013051085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013051085 |
| Entity Type | Organization |
| Organization Name | MEDICAL CLINIC AND SURGICAL SPECIALITIES OF GLENDALE |
| Practice Address |
1510 South Central Ave Suite #100 Glendale CA 91204-2582 |
| Practice Telephone | 8182401820 |
| Practice Fax Number | 8182401021 |
| Mailing Telephone | 8182401820 |
| Mailing Fax Number | 8182401021 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARDIROS HAIG MIHRANIAN (PRESIDENT SECRETARY) |
| Authorized Official Telephone | 8182401820 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | G47224 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G472240 | 05 |
| Street Address |
1510 SOUTH CENTRAL AVE SUITE #100 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91204-2582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548358369 | Ighia Aintablian | Pediatrics | 1510 South Central Ave, #450, Glendale, CA 91204 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
| 1538633136 | Pathology La Inc. | Clinical Medical Laboratory | 4634 San Fernando Rd., Same As Above, Glendale, CA 91204 | 2019-01-16 |
| 1295254050 | Glendale Back and Pain Center | Neurological Surgery | 710 S. Central Ave, Suite 240, Glendale, CA 91204 | 2017-09-13 |
| 1285163568 | Ez Trans, Inc. | Transportation Broker | 1626 S. Central Ave., Glendale, CA 91204 | 2017-06-08 |
| 1194254474 | Jenny Chung | Pharmacist | 3943 San Fernando Road, Glendale, CA 91204 | 2017-06-08 |
| 1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1124454376 | Alber K. Karamanoukian Medical Clinic, Inc. | Clinic/Center | 810 S. Central Avenue, Suite 100, Glendale, CA 91204 | 2013-09-19 |
| 1548521156 | Glendale Plastic and Reconstructive Surgery Inc. | Plastic Surgery | 1500 S. Central Ave. #126, Glendale, CA 91204 | 2012-05-31 |
| Find all providers in zip 91204 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134214851 | Richard P Pearlstein | Otolaryngology | 18700 N 64th Dr Ste 201, Glendale, AZ 85308-7112 | 2006-10-04 |
| 1609881077 | Ascension Medical Group - Southeast Wisconsin, Inc. | Otolaryngology | 400 W River Woods Pkwy, Glendale, WI 53212 | 2006-07-31 |
| 1053381533 | David L Simms | Otolaryngology | 5750 W. Thunderbird Rd, Suite A-100, Glendale, AZ 85306-4660 | 2006-01-25 |
| 1184607004 | Sudhir P Agarwal | Otolaryngology | 5757 W Thunderbird Road, Suite W301, Glendale, AZ 85306-4641 | 2005-11-23 |
| 1073506077 | Isabel Feinstein | Otolaryngology | 5750 W Thunderbird, Suite A-100, Glendale, AZ 85306 | 2005-08-24 |
| 1205146990 | George B. Stoneman, Md, A Professional Corporation | Otolaryngology | 800 S Central Ave, Suite 204, Glendale, CA 91204-4370 | 2010-10-14 |
| 1194054015 | Eric J Yavrouian | Otolaryngology | 1505 Wilson Terrace, 270, Glendale, CA 91206-4078 | 2009-12-24 |
| 1144402405 | Susan L Chobanian | Otolaryngology | 1510 S Central Ave, 100, Glendale, CA 91204-2500 | 2007-11-28 |
| 1962608281 | Sarah Rossmiller Carroll | Otolaryngology | 1505 Wilson Ter, Suite 270, Glendale, CA 91206-4071 | 2007-06-23 |
| 1528096989 | Elliot Martin Libling | Otolaryngology | 18700 N 64th Dr, Ste 312, Glendale, AZ 85308-7114 | 2006-06-28 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.