Central Medical Center

LBN: Shahryar Manavi M D Inc
Central Medical Center is an health care organization with primary practice located at 214 N Central Ave , Glendale CA 91203-3556. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Shahryar Manavi M D Inc can be contacted via phone (818) 241-0970, or through Hernandez, Martha Luvia via phone (818) 241-0970.

Contact Information

Primary practice address
214 N Central Ave Glendale CA 91203-3556
Fax: (818) 638-0024
Website:
Authorized official contact:
Name: Hernandez, Martha Luvia

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A67461 California
Other Service Providers / Specialist 174400000X A85995 California

Profile Details

NPI number 1578525911
LBN Legal business name Shahryar Manavi M D Inc
DBA Doing business as Central Medical Center
Authorized official Hernandez, Martha Luvia
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2006
Last updated Oct 28th, 2008 - about 16 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 1578525911 NPPES
California MEDICAID GR0091520

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