| Glenwest Medical Center, Inc. | |
|
1737 W Glenoaks Blvd Glendale CA 91201-1542 | |
| (818) 243-1186 | |
| (818) 243-3868 |
| Full Name | Glenwest Medical Center, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1737 W Glenoaks Blvd, Glendale, California |
| Authorized Official Name and Position | Gevork Maissian (PRESIDENT) |
| Authorized Official Contact | 8182431186 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenwest Medical Center, Inc. 1737 W Glenoaks Blvd Glendale CA 91201-1542 Ph: (818) 243-1186 | Glenwest Medical Center, Inc. 1737 W Glenoaks Blvd Glendale CA 91201-1542 Ph: (818) 243-1186 |
| NPI Number | 1053493056 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 09/09/2015 |
| Medicare PECOS PAC ID | 1254493208 |
|---|---|
| Medicare Enrollment ID | O20081229000447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053493056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A10524 (California) | Primary |
| Provider Name | Gevork Joe Maissian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639320658 PECOS PAC ID: 7618030255 Enrollment ID: I20090108000495 |
| Provider Name | Luiza Topuriya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457772105 PECOS PAC ID: 1850612920 Enrollment ID: I20150602001671 |
| Provider Name | Diana Boghozian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316545239 PECOS PAC ID: 3779950696 Enrollment ID: I20221107001897 |
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