CHEVY CHASE AMBULATORY CENTER LP NPI 1497733661

NPI Information

NPI: 1497733661
Provider Name: CHEVY CHASE AMBULATORY CENTER LP
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D1027418

Address:
801 S CHEVY CHASE DR
SUITE #106
GLENDALE, CA
ZIP 91205
Phone: (818) 265-2275
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CHEVY CHASE AMBULATORY CENTER LP is an ambulatory surgical clinic center in Glendale, CA. CHEVY CHASE AMBULATORY CENTER LP NPI is 1497733661. The provider is registered as an organization entity type.

The provider's business location address is:

801 S CHEVY CHASE DR
SUITE #106
GLENDALE, CA
ZIP 91205-431
Phone: (818) 265-2275
Fax: (818) 649-1034

The provider's authorized official is Raffi Sarkissian .
The authorized official title is Administrator and has the following contact phone number (818) 265-2227.

The CLIA number assigned to this NPI record is 05D1027418 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2006 and was last updated on 6/26/2023.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	550000021	CALIFORNIA	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: 5/5/2024

NPI Synchronization or Removal

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