Susanna Margaryan MD a Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SUSANNA MARGARYAN MD A MEDICAL CORPORATION

Practice address

1511 W. Glendale Ave.
Glendale, CA 91201

Phone

(805) 991-6638

NPI assigned

Jan 23, 2019

Last updated

Jan 23, 2019By 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

Susanna Margaryan, MD

Title

Physician

Phone

(805) 991-6638

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1790249852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 DWIGHT AVE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103705",
            "telephone_number": "805-991-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 W. GLENDALE AVE.",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91201",
            "telephone_number": "805-991-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSANNA MARGARYAN MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "MARGARYAN",
        "authorized_official_first_name": "SUSANNA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "805-991-6638",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Glendale, CA
• Providers in Glendale, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.