Broadway Wellness Center, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BROADWAY WELLNESS CENTER, INC.

Practice address

435 Arden Ave Suite 520
Glendale, CA 91203

Phone

(818) 696-0091

Fax

(818) 484-2449

NPI assigned

Jan 29, 2020

Organization subpart

No

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

Authorized official

Name

Silva Moradi

Title

Ceo

Phone

(818) 696-0091

Specialties & licenses 1

Addresses

Tax ID family

Avalon Surgery and Robotic Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Avalon Surgery and Robotic Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Glendale, CA
  • NPI 1194185637
  NPD tax ID
• Nobility Health, Inc.

  • Clinical Medical Laboratory
  • Glendale, CA
  • NPI 1659969376
  NPD tax ID

Locations

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1700417797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE SUITE 520",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91203",
            "telephone_number": "818-696-0091",
            "fax_number": "818-484-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE SUITE 520",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91203",
            "telephone_number": "818-696-0091",
            "fax_number": "818-484-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "MORADI",
        "authorized_official_first_name": "SILVA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-696-0091"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broadway Manor Care Center LLC (Broadway Manor Care Center)
• Broadway Med Group, Inc (Broadway Pharmacy)
• Broadway Smile Boutique
• Broadway Surgery Specialists
• Broadway Wellness Center (Serenity Sleep Centers)
• Janette Brocklehurst, M.A., BCBA
• Brookside Anesthesia Group
• Broosan Chiropractic Corporation
• Arin Broosan, D.C.
• Bross and Associates, LLC

• Ambulatory Surgical Clinic/Center in Glendale, CA
• Providers in Glendale, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.