GLEN-WHITE UROLOGICAL MEDICAL GROUP INC (NPI# 1659556835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659556835 |
| Entity Type | Organization |
| Organization Name | GLEN-WHITE UROLOGICAL MEDICAL GROUP INC |
| Practice Address |
1560 E Chevy Chase Dr #325 Glendale CA 91206-4140 |
| Practice Telephone | 8182421144 |
| Practice Fax Number | 8182426948 |
| Mailing Telephone | 8182421144 |
| Mailing Fax Number | 8182426948 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2017-10-04 |
| Authorized Official Name | DR. SZE-CHING LEE (PRESIDENT) |
| Authorized Official Telephone | 8182421144 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0065131 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508814138 | Glen-white Urological Medical Group Inc | Urology | 1560 East Chevy Chase Dr, Suite 325, Glendale, CA 91206 | 2006-05-05 |
| Street Address |
1560 E CHEVY CHASE DR #325 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91206-4140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891793089 | Levon Allen Ter-bagdasarian | Nurse Practitioner | 1560 E Chevy Chase Dr, Suite 130, Glendale, CA 91206-4197 | 2005-07-12 |
| 1447767256 | Roya B Zainali | Nurse Practitioner | 1560 E Chevy Chase Dr, Glendale, CA 91206-4197 | 2018-01-02 |
| 1316327182 | Adventist Health Physicians Network | Surgery | 1560 E Chevy Chase Dr, #430, Glendale, CA 91206-4197 | 2015-06-05 |
| 1376922617 | Lovingly Quitania Park, Ph.d. | Clinical Neuropsychologist | 1560 E Chevy Chase Dr, Glendale, CA 91206-4197 | 2015-05-19 |
| 1083976294 | Adventist Health Physicians Network | Internal Medicine | 1560 E Chevy Chase Dr, Suite#245, Glendale, CA 91206-4197 | 2012-06-13 |
| 1104182856 | Esther Yoon Md, Inc | Family Medicine | 1560 E Chevy Chase Dr, #355, Glendale, CA 91206-4197 | 2012-04-06 |
| 1962701227 | Dmitriy Gen | Family Medicine | 1560 E Chevy Chase Dr, Glendale, CA 91206-4197 | 2011-03-24 |
| 1134430606 | Ata Mazaheri Md Inc. | Surgery | 1560 E Chevy Chase Dr, Suite #450, Glendale, CA 91206-4197 | 2010-06-29 |
| 1801113824 | Star Urology Incorporated | Urology | 1560 E Chevy Chase Dr, 325, Glendale, CA 91206-4197 | 2010-04-29 |
| 1306161583 | Golden State Behavioral Medical Group, Inc. | Psychiatry & Neurology | 1560 E Chevy Chase Dr, Suite 130, Glendale, CA 91206-4197 | 2010-03-31 |
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| 1922611003 | Skyla L Bergin | Behavior Technician | 741 Glenvia St., Suite 200, Glendale, CA 91206 | 2020-08-28 |
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| 1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
| 1467010801 | Rebecca Bautista | Counselor | 223 North Jackson Street, Glendale, CA 91206 | 2019-05-31 |
| 1689132920 | M4l Transport Inc | Non-emergency Medical Transport (VAN) | 336 N Louise St #4d, Glendale, CA 91206 | 2019-03-05 |
| 1376042705 | Eileen Wong, Md Inc. | Physical Medicine & Rehabilitation | 2664 E Glenoaks Blvd, Glendale, CA 91206 | 2018-02-12 |
| 1629507900 | Aleksan Chakhoyan | Registered Nurse | 501 N. Glendale Ave., Glendale, CA 91206 | 2017-06-08 |
| 1851793343 | Sevak Olmessekian | Pharmacist | 230 N. Maryland Ave., Suite 307, Glendale, CA 91206 | 2014-09-16 |
| 1558762575 | Zyanya Mendoza | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 140, Glendale, CA 91206 | 2014-09-09 |
| 1629488358 | Nina Behdin | Surgery | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206 | 2014-05-02 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891268389 | John Joseph Granato Jr. | Urology | 333 Cumberland Rd, Glendale, CA 91202-1256 | 2019-01-07 |
| 1811207483 | Shahin Derboghossians Md Inc | Urology | 1030 S Glendale, 301, Glendale, CA 91205 | 2010-10-18 |
| 1285955823 | Kirsten Janna Chimwemwe Janosek-albright | Urology | 17560 N 75th Ave, Suite 440, Glendale, AZ 85308-5983 | 2010-06-17 |
| 1326371717 | Kamal Nagpal | Urology | 6320 W Union Hills Dr Ste 2600b, Glendale, AZ 85308-1379 | 2009-09-16 |
| 1922284579 | Yasmin I Bootwala | Urology | 6525 W Sack Dr Ste 201, Glendale, AZ 85308 | 2008-01-14 |
| 1073609178 | Ignacio Hoelzl Luna | Urology | 426 Eight Street, Suite 300, Glendale, WV 26038 | 2006-10-05 |
| 1538181474 | Ken-ryu Han | Urology | 5750 W Thunderbird Rd Ste B200, Glendale, AZ 85306-4664 | 2006-07-23 |
| 1710915038 | Shahin Derboghossians | Urology | 116 S Louise St, Glendale, CA 91205 | 2006-06-28 |
| 1023045713 | Carlton Francis Valvo | Urology | 1808 Verdugo Blvd Ste 110, Glendale, CA 91208-1450 | 2006-06-27 |
| 1508814138 | Glen-white Urological Medical Group Inc | Urology | 1560 East Chevy Chase Dr, Suite 325, Glendale, CA 91206 | 2006-05-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.