Active NPI
Central Neuro Diagnostic, Inc
- Physiological Laboratory
- Glendale, CA
National Provider Identifier
1902034408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- CENTRAL NEURO DIAGNOSTIC, INC
- Practice address
- 330 N Brand Blvd
Suite 180
Glendale, CA 91203-2308 - Phone
- (818) 247-1718
- Fax
- (818) 247-1817
- NPI assigned
- Jun 23, 2009
- 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
- Susanna Yagubyan
- Title
- Manager
- Phone
- (818) 389-6568
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
330 N Brand Blvd
Suite 180
Glendale, CA 91203-2308
Mailing address
330 N Brand Blvd
Suite 180
Glendale, CA 91203-2325
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1316065683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348617600000",
"number": "1902034408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 N BRAND BLVD",
"address_2": "SUITE 180",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912032325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 N BRAND BLVD",
"address_2": "SUITE 180",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912032308",
"telephone_number": "818-247-1718",
"fax_number": "818-247-1817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL NEURO DIAGNOSTIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-23",
"last_updated": "2012-09-26",
"status": "A",
"authorized_official_last_name": "YAGUBYAN",
"authorized_official_first_name": "SUSANNA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "818-389-6568"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"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 Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.