EDWARD SAMOURJIAN MEDICAL CORPORATION, INC. – NPI #1508593617
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

EDWARD SAMOURJIAN MEDICAL CORPORATION, INC. is a surgeon located in GLENDALE, CA. NPPES has assigned the NPI number 1508593617 to EDWARD SAMOURJIAN MEDICAL CORPORATION, INC. on August 08, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was last updated on Feb 20, 2025. 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 EDWARD SAMOURJIAN MEDICAL CORPORATION, INC. below.

NPI Profile for
EDWARD SAMOURJIAN MEDICAL CORPORATION, INC.

NPI Number
1508593617
Enumeration Date

(about 4 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
EDWARD SAMOURJIAN MEDICAL CORPORATION, INC.
Primary location
1030 S GLENDALE AVE STE 503
GLENDALE, CA 91205-2820
Phone: (818) 230-6522 Fax: (818) 230-6523
1 Other location(s):
1030 S Glendale Ave Ste 402
Glendale, CA 91205-2866
Phone: (818) 230-6522
Fax: (818) 230-6523
Mailing address
PO BOX 11719
BURBANK, CA 91510-1719
Phone: (818) 504-7265 Fax: (818) 504-7203
Organization Subpart
No
Authorized Official
EDWARD SAMOURJIAN
PRESIDENT
Phone: (818) 230-6522
Updated
Certification Date
Feb 20, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2086S0129X
- Surgery / Vascular Surgery (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.