ANGEL WINGS MEDICAL ASSOCIATES NPI 1366942666

NPI Information

NPI: 1366942666
Provider Name: ANGEL WINGS MEDICAL ASSOCIATES
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 05D2151672

Address:
1130 WEST OLIVE AVE.
BURBANK, CA
ZIP 91506
Phone: (818) 645-5686
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ANGEL WINGS MEDICAL ASSOCIATES is an urgent care clinic center in Burbank, CA. ANGEL WINGS MEDICAL ASSOCIATES NPI is 1366942666. The provider is registered as an organization entity type.

The provider's business location address is:

1130 WEST OLIVE AVE.
BURBANK, CA
ZIP 91506
Phone: (818) 645-5686
Fax: (323) 668-0955

The provider's authorized official is Hovanes John Ter-zakarian .
The authorized official title is Ceo and has the following contact phone number (818) 645-5686.

The CLIA number assigned to this NPI record is 05D2151672 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2018 and was last updated on 2/14/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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