General Promed Center Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

GENERAL PROMED CENTER INC

Practice address

17620 Sherman Way Ste 205
Lake Balboa, CA 91406-3527

Phone

(818) 600-8847

Fax

(818) 600-8846

NPI assigned

Dec 28, 2022

Organization subpart

No

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

Authorized official

Name

Gerasim Cherkezyan

Title

Ceo/Owner

Phone

(818) 600-8847

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1760195325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17620 SHERMAN WAY STE 205",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914063527",
            "telephone_number": "818-600-8847",
            "fax_number": "818-600-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17620 SHERMAN WAY STE 205",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914063527",
            "telephone_number": "818-600-8847",
            "fax_number": "818-600-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL PROMED CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "CHERKEZYAN",
        "authorized_official_first_name": "GERASIM",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "818-600-8847"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOS ANGELES BUSINESS LICENSE",
            "identifier": "0003334987-0001-1",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Lake Balboa, CA
• Providers in Lake Balboa, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.