Active NPI
Healing Bridge Medical Group
- Family Medicine Physician
- Glendale, CA
National Provider Identifier
1124923982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HEALING BRIDGE MEDICAL GROUP
- Practice address
- 340 Arden Ave Ste 224
Glendale, CA 91203-1102 - Phone
- (747) 351-9960
- NPI assigned
- Oct 12, 2026
- Last updated
- Oct 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vladimir Ahsoti Jumanyan
- Title
- Administrator
- Phone
- (757) 351-9960
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
340 Arden Ave Ste 224
Glendale, CA 91203-1102
Mailing address
340 Arden Ave Ste 224
Glendale, CA 91203-1102
Phone (747) 351-9960
National Provider Directory
National Provider DirectoryLocations
340 Arden Ave
Ste 224
Glendale, CA 91203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791763200000",
"number": "1124923982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 ARDEN AVE STE 224",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912031102",
"telephone_number": "747-351-9960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 ARDEN AVE STE 224",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912031102",
"telephone_number": "747-351-9960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING BRIDGE MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-12",
"last_updated": "2026-10-12",
"certification_date": "2026-10-12",
"status": "A",
"authorized_official_last_name": "JUMANYAN",
"authorized_official_first_name": "VLADIMIR AHSOTI",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "757-351-9960"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.