Provider Demographics
NPI:1063819076
Name:CENTRAL SURGERY CENTER OF GLENDALE
Entity Type:Organization
Organization Name:CENTRAL SURGERY CENTER OF GLENDALE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SARKISIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-484-0606
Mailing Address - Street 1:P.O.BOX 3068
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91221-0068
Mailing Address - Country:US
Mailing Address - Phone:626-484-0606
Mailing Address - Fax:818-507-0089
Practice Address - Street 1:800 S. CENTRAL AVE.
Practice Address - Street 2:STE 100
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-4644
Practice Address - Country:US
Practice Address - Phone:626-484-0606
Practice Address - Fax:818-507-0089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-20
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical