Provider Demographics
NPI:1609041318
Name:ARMEN CHERIK, M.D.,INC.
Entity Type:Organization
Organization Name:ARMEN CHERIK, M.D.,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHERIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-241-1911
Mailing Address - Street 1:1215 S CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-2503
Mailing Address - Country:US
Mailing Address - Phone:818-241-1911
Mailing Address - Fax:
Practice Address - Street 1:1215 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-2503
Practice Address - Country:US
Practice Address - Phone:818-241-1911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA48576261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A485761Medicaid
F11290Medicare UPIN