SOCAL OUTPATIENT SURGERY CENTER (NPI# 1568820892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568820892 |
Entity Type | Organization |
Organization Name | SOCAL OUTPATIENT SURGERY CENTER |
Practice Address |
1141 N Brand Blvd Ste 202 Glendale CA 91202-3660 |
Practice Telephone | 8189459845 |
Practice Fax Number | 8189450892 |
Mailing Telephone | 8189459845 |
Mailing Fax Number | 8189450892 |
Enumeration Date | 2016-02-01 |
Last Update Date | 2016-03-04 |
Authorized Official Name | ANGEL SAMVALIAN (CEO) |
Authorized Official Telephone | 8184027759 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Street Address |
1141 N BRAND BLVD STE 202 |
City | GLENDALE |
State | CA |
Zip Code | 91202-3660 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528538857 | Forever Active Cbas | Clinic/Center | 1111 W Glenoaks Blvd, Glendale, CA 91202 | 2018-11-29 |
1144724436 | Kristine Bustos | Nurse Practitioner | 1200 N Pacific Ave Ste 104, Glendale, CA 91202 | 2018-03-21 |
1295159614 | Kevin Lew | Dentist | 1122 N. Brand Blvd. Suite 102, Glendale, CA 91202 | 2014-02-05 |
1568709350 | Helen Chalakians | Counselor | 525 Glenwood Rd, Glendale, CA 91202 | 2013-01-14 |
1316216161 | Teresa Eligio | Nurse Practitioner | 857 Grant Ave, Glendale, CA 91202 | 2011-12-23 |
1033486139 | Advance Hospice Care, Inc. | Home Health | 1209 N. Central Ave Suite 204, Glendale, CA 91202 | 2011-11-18 |
1659518785 | Sarine Davityan | Marriage & Family Therapist | 1010 N Central Ave # 310, Glendale, CA 91202 | 2009-01-12 |
1760635619 | Tatiana Mikaelian Dds Inc | Dentist | 1209 N. Central Ave, #203, Glendale, CA 91202 | 2008-10-23 |
1669624219 | Marine Demirjian | Allergy & Immunology | 1131 N Pacific Ave, Glendale, CA 91202 | 2008-10-15 |
1902055783 | Lousine Vahagn Kirakosian | Dentist | 125 E. Glenoaks Blvd., Suite 103, Glendale, CA 91202 | 2008-09-16 |
Find all providers in zip 91202 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
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1578197869 | Windsor Surgery Center LLC | Clinic/Center | 800 S Central Ave Ste 102, Glendale, CA 91204-4370 | 2020-02-26 |
1740814938 | Windsor Surgery Center of Glendale LLC | Clinic/Center | 800 S Central Ave Ste 103, Glendale, CA 91204-4395 | 2020-02-26 |
1700417797 | Broadway Wellness Center Inc | Clinic/Center | 716 W Broadway Ste 100, Glendale, CA 91204-1010 | 2020-01-29 |
1891257473 | Westgate Surgery Center, LLC | Clinic/Center | 7330 N 99th Ave Ste 100, Glendale, AZ 85307-3016 | 2019-04-03 |
1194291401 | Affiliated Physicians & Surgeons, Ltd | Clinic/Center | 20325 N 51st Ave Ste 102-104, Glendale, AZ 85308-5674 | 2018-10-15 |
1558853234 | Broadway Laser Surgical Institute, Inc. | Clinic/Center | 1100 E Broadway Ste 201, Glendale, CA 91205-1380 | 2018-05-30 |
1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
1194185637 | Avalon Surgery and Robotic Center, LLC | Clinic/Center | 716 W Broadway Ste 200, Glendale, CA 91204-1010 | 2016-02-25 |
1609233121 | Vatche B. Bardakjian, M.d, Inc | Clinic/Center | 1577 E Chevy Chase Dr Ste 250, Glendale, CA 91206-4172 | 2016-01-28 |
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.