Provider Demographics
NPI:1598481582
Name:SAINT GREGORY HEART AND VASCULAR CENTER, INC.
Entity Type:Organization
Organization Name:SAINT GREGORY HEART AND VASCULAR CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SARKIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRAMIJYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-335-3110
Mailing Address - Street 1:1560 E CHEVY CHASE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-4159
Mailing Address - Country:US
Mailing Address - Phone:818-405-5040
Mailing Address - Fax:818-405-5041
Practice Address - Street 1:1560 E CHEVY CHASE DR STE 400
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4197
Practice Address - Country:US
Practice Address - Phone:800-626-2468
Practice Address - Fax:951-272-1598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-12
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty