Medical Clinic & Surgical Specialties of Glendale, Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MEDICAL CLINIC & SURGICAL SPECIALTIES OF GLENDALE, INC

Practice address

1510 S Central Ave
100
Glendale, CA 91204-2500

Phone

(818) 240-1820

Fax

(818) 240-1021

NPI assigned

Nov 28, 2007

Last updated

Feb 10, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mardiros Haig Mihranian, M.D.NPI 1093997330

Title

President

Phone

(818) 240-1820

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mardiros H Mihranian, M.D.

  • Surgery Physician
  • Glendale, CA
  • NPI 1093997330
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1194907402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE",
            "address_2": "100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042500",
            "telephone_number": "818-240-1820",
            "fax_number": "818-240-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE",
            "address_2": "100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042500",
            "telephone_number": "818-240-1820",
            "fax_number": "818-240-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CLINIC & SURGICAL SPECIALTIES OF GLENDALE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "MIHRANIAN",
        "authorized_official_first_name": "MARDIROS",
        "authorized_official_middle_name": "HAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-240-1820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medex Laboratories Services Inc
• Medi-Lab Corporation
• Medi-Move Physicians Inc
• Medical Alliance Group
• Medical and Behavioral Health Associates
• Medical Clinic and Surgical Specialities of Glendale
• Medical Clinic and Surgical Specialties of Glendale
• Medical Group Imaging Center of Glendale
• Medical Planet Center
• Medical Transport Specialist Corp.

• Surgery Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.