DR. GOR AGABABIAN (NPI# 1063442143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063442143 |
| Entity Type | Individual |
| Full Name | DR. GOR AGABABIAN |
| Credential | M.D. |
| Practice Address |
800 S Central Ave Suite # 301 Glendale CA 91204-4370 |
| Mailing Address |
800 S Central Ave Suite #301 Glendale CA 91204-4370 |
| Practice Telephone | 8182461824 |
| Practice Fax Number | 8182461886 |
| Mailing Telephone | 8182461824 |
| Mailing Fax Number | 8182461886 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2012-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A93668 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
800 S CENTRAL AVE SUITE # 301 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91204-4370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093752677 | Glendale Podiatry Group | Podiatrist | 800 S Central Ave, #302, Glendale, CA 91204-4370 | 2006-06-01 |
| 1619420916 | Alexander Tima | Acupuncturist | 800 S Central Ave, Suite 206, Glendale, CA 91204-4370 | 2016-08-03 |
| 1942665906 | Wfm Medical and Wellness Centers, Inc. | Acupuncturist | 800 S Central Ave, Suite 203, Glendale, CA 91204-4370 | 2015-12-17 |
| 1073907689 | All for Health Health for All Inc | Clinic/Center | 800 S Central Ave, Suite 308, Glendale, CA 91204-4370 | 2015-03-20 |
| 1780074138 | One Surgery Center LLC | Clinic/Center | 800 S Central Ave, Suite # 100a3, Glendale, CA 91204-4370 | 2015-01-23 |
| 1861827727 | Imanoel Pharmacy, Inc. | Pharmacy | 800 S Central Ave, Suite 101a, Glendale, CA 91204-4370 | 2013-09-11 |
| 1194062133 | Amaiak Chilingaryan, M.d., Inc | Psychiatry & Neurology | 800 S Central Ave, 307, Glendale, CA 91204-4370 | 2013-01-10 |
| 1144574484 | California Surgical Multi-specialty Group Inc. | Surgery | 800 S Central Ave, 212, Glendale, CA 91204-4370 | 2012-11-08 |
| 1700139987 | Jacqueline Anne Gabardy | Acupuncturist | 800 S Central Ave, Suite 302, Glendale, CA 91204-4370 | 2012-10-24 |
| 1205146990 | George B. Stoneman, Md, A Professional Corporation | Otolaryngology | 800 S Central Ave, Suite 204, Glendale, CA 91204-4370 | 2010-10-14 |
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| 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 |
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| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1023390770 | Armen Nercessian Do Inc | General Practice | 1122 N Brand Blvd Ste 101, Glendale, CA 91202-2571 | 2011-09-19 |
| 1609165992 | Leslie Moss Kalman | General Practice | 1015 Hillcroft Rd, Glendale, CA 91207-1541 | 2011-04-07 |
| 1184934648 | Luis A Perez Md Inc | General Practice | 1220 S Central Ave Ste 102, Glendale, CA 91204-3805 | 2010-10-18 |
| 1457676793 | Elizabeth Remedios Md Inc | General Practice | 423 W Colorado St, Glendale, CA 91204-1537 | 2010-03-30 |
| 1174855480 | Abdelgabar Mohamed Mohamdian | General Practice | 8528 N 43rd Dr, Glendale, AZ 85302-5302 | 2010-02-11 |
| 1578892808 | Alber Karamanoukian | General Practice | 800 S Central Ave., Glendale, CA 91204-2902 | 2009-12-16 |
| 1376871566 | Agababian Medical Clinic, Inc | General Practice | 800 S Central Ave Ste 301, Glendale, CA 91204-4388 | 2009-11-26 |
| 1174857791 | Triad Clinic Pllc | General Practice | 4902 W Ironwood Dr, Glendale, AZ 85302-2402 | 2009-09-29 |
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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.