VASCULAR COSMETICS LA (NPI# 1366912446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366912446 |
| Entity Type | Organization |
| Organization Name | VASCULAR COSMETICS LA |
| Practice Address |
1511 W Glenoaks Blvd Glendale CA 91201-1912 |
| Mailing Address |
983 Calle Amable Glendale CA 91208-3060 |
| Practice Telephone | 8184820016 |
| Practice Fax Number | 8184848243 |
| Mailing Telephone | 8188420016 |
| Mailing Fax Number | 8184848243 |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |
| Authorized Official Name | DR. REZA KHODAVERDIAN (PRESIDENT) |
| Authorized Official Telephone | 8184820016 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 319 S Brand Blvd, Glendale, CA 912041701 | 8184820016 | 8184848243 |
| Street Address |
1511 W GLENOAKS BLVD |
| City | GLENDALE |
| State | CA |
| Zip Code | 91201-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437112604 | Saeid Safaee | Internal Medicine | 1511 W Glenoaks Blvd, Glendale, CA 91201-1912 | 2006-04-10 |
| 1932731627 | Urgent Orthopedic | Orthopaedic Surgery | 1511 W Glenoaks Blvd, Glendale, CA 91201-1912 | 2020-02-10 |
| 1811393762 | Maxie Huynh | Physician Assistant | 1511 W Glenoaks Blvd, Glendale, CA 91201 | 2014-11-04 |
| 1528400496 | Pulse Urgent Care Inc | Internal Medicine | 1511 W Glenoaks Blvd, Glendale, CA 91201-1912 | 2013-07-21 |
| 1831330513 | Southern California Pulmonary and Critical Care Associates, Inc | General Acute Care Hospital | 1511 W Glenoaks Blvd, Glendale, CA 91201-1912 | 2009-03-10 |
| 1669685111 | Lusine Simonyants | Internal Medicine | 1511 W Glenoaks Blvd, Glendale, CA 91201-1912 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406046 | Blue Sky Hospice Care, Inc. | Hospice Care, Community Based | 1915 West Glen Oaks Blvd Ste 101b, Glendale, CA 91201 | 2020-08-03 |
| 1093350993 | Accumed Inc | Pharmacy | 1851 Flower Street, Glendale, CA 91201 | 2019-11-14 |
| 1790249852 | Susanna Margaryan Md A Medical Corporation | Clinic/Center | 1511 W. Glendale Ave., Glendale, CA 91201 | 2019-01-23 |
| 1831688860 | Vera Hospice, Inc. | Hospice Care, Community Based | 1927 1/2 W. Glenoaks Blvd, Glendale, CA 91201 | 2018-05-04 |
| 1396256939 | Universal Care Group Inc | Home Health | 1516 W Glenoaks Blvd Suite C, Glendale, CA 91201 | 2017-10-23 |
| 1427474642 | Brecka Walker | Social Worker | 1400 Glenwood Rd, Apt 109, Glendale, CA 91201 | 2014-03-12 |
| 1720422447 | Hmayak Manasyan | General Practice | 1712 E Colorado Blvd, Pasadena, CA 91201 | 2013-04-24 |
| 1730451469 | Divine Care Lm Hospice | Hospice Care, Community Based | 1440 Flower St. Suite A, Glendale, CA 91201 | 2012-01-26 |
| 1225255201 | Mikhail Blinchik | Internal Medicine | 777-a Flower Street, Glendale, CA 91201 | 2007-04-19 |
| 1801906920 | Brian Conlan | Counselor | 6425 San Fernando Rd, Glendale, CA 91201 | 2006-08-30 |
| Find all providers in zip 91201 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750383766 | Andrew S Hurwitz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1019 S Central Ave, Suite 530, Glendale, CA 91204-2210 | 2005-08-10 |
| 1124020136 | Richard W Suda | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1510 S Central Ave, Suite 530, Glendale, CA 91204-2500 | 2005-08-10 |
| 1174524789 | Jeffrey Barton Alpern | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 21579 N 56th Ave, Suite 117, Glendale, AZ 85308-6287 | 2005-08-04 |
| 1033543186 | Hosstrup, Plc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6120 W Bell Rd, Suite 100, Glendale, AZ 85308-3781 | 2013-08-26 |
| 1134398571 | Valley Chest & Vascular Surgeons Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 18555 N 79th Ave, Suite E105, Glendale, AZ 85308-8370 | 2008-02-29 |
| 1912931601 | Sundeep Shashi Patel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 18301 N 79th Ave, Suite C135, Glendale, AZ 85308-8463 | 2006-07-10 |
| 1518949858 | Ellsworth E Wareham | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1505 Wilson Ter, Ste 300, Glendale, CA 91206-4071 | 2005-11-14 |
| 1114929809 | Randall F Roberts | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1019 S Central Ave, Glendale, CA 91204-2210 | 2005-08-11 |
| 1821094780 | Roger James Hucek | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5620 W Thunderbird Rd, Ste E1, Glendale, AZ 85306-4651 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370728 | North County Cvt Surgery Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3156 Vista Way Ste 100, Oceanside, CA 92056-3694 | 2020-09-14 |
| 1417560756 | Valiana Vascular Institute Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 E Chapman Ave Ste 220, Fullerton, CA 92831-3108 | 2020-08-26 |
| 1891252474 | Miguel Puig Md A Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1430 Esplanade Ste 10, Chico, CA 95926-3366 | 2019-03-01 |
| 1598247991 | Pavel V Petrik Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1331 W Avenue J Ste 203, Lancaster, CA 93534-2954 | 2018-08-31 |
| 1942797378 | Sharon A Bogerty Md Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 105 N Bascom Ave Ste 101b, San Jose, CA 95128-1811 | 2018-04-20 |
| 1992231112 | Samer Kanaan Md A Professional Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27451 Los Altos, Suite 290, Mission Viejo, CA 92691 | 2017-05-08 |
| 1073065512 | Central California Chest Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 729 N Medical Center Dr W Ste 223, Clovis, CA 93611-6885 | 2016-11-01 |
| 1407214612 | George Arnold Mulder | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1150 Laurel St, Pasadena, CA 91103-2329 | 2016-02-02 |
| 1760849905 | Steven R Gundry Md Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 555 E Tachevah Dr Ste 3w103, Palm Springs, CA 92262-5747 | 2016-01-19 |
| 1386018687 | Riyad Youssef Tarazi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9120 Judicial Dr, Apt 7522, San Diego, CA 92122-6700 | 2015-11-24 |
| Find all providers with the same taxonomy | ||||
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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.