Family Medicine Center And Descanso Family Practice

LBN: Family Practice Of Glendale A Medical Corporation
Family Medicine Center And Descanso Family Practice is an health care organization with primary practice located at 801 S Chevy Chase Dr Ste 230 , Glendale CA 91205-4436. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Family Practice Of Glendale A Medical Corporation can be contacted via phone (818) 500-5586, or through Khanoyan, Sirvard via phone (818) 445-7143.

Contact Information

Primary practice address
801 S Chevy Chase Dr Ste 230 Glendale CA 91205-4436
Phone: (818) 500-5586
Fax: (818) 500-5587
Website:
Map and Directions
Authorized official contact:
Name: Khanoyan, Sirvard Doctor of Medicine (MD)
Phone: (818) 445-7143

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X

Profile Details

NPI number 1801851043
LBN Legal business name Family Practice Of Glendale A Medical Corporation
DBA Doing business as Family Medicine Center And Descanso Family Practice
Authorized official Khanoyan, Sirvard Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2006
Last updated Apr 14th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801851043 NPPES
California MEDICAID GR0044711
California MEDICAID GR0044710

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