GLENDALE ST. MARY'S SURGICAL CENTER – NPI #1124454376
Clinic/Center

GLENDALE ST. MARY'S SURGICAL CENTER is an AHC clinic located in GLENDALE, CA. NPPES has assigned the NPI number 1124454376 to GLENDALE ST. MARY'S SURGICAL CENTER on September 19, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GLENDALE ST. MARY'S SURGICAL CENTER” is a dba name, the actual legal business name for this organization is ALBER K. KARAMANOUKIAN MEDICAL CLINIC, INC.. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 12 years ago on Apr 23, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GLENDALE ST. MARY'S SURGICAL CENTER below.

NPI Profile for
ALBER K. KARAMANOUKIAN MEDICAL CLINIC, INC.

NPI Number
1124454376
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALBER K. KARAMANOUKIAN MEDICAL CLINIC, INC.
Doing Business As (dba): GLENDALE ST. MARY'S SURGICAL CENTER
Primary location
810 S. CENTRAL AVENUE
SUITE 100
GLENDALE, CA 91204
Phone: (818) 242-6173 Fax: (818) 242-6799
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALBER KARAMANOUKIAN
MEDICAL DIRECTOR
Phone: (818) 242-6173
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.