LEO POLOSAJIAN, MD, A PROFESSIONAL MEDICAL CORPORATION (NPI# 1912122631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912122631 |
| Entity Type | Organization |
| Organization Name | LEO POLOSAJIAN, MD, A PROFESSIONAL MEDICAL CORPORATION |
| Practice Address |
7640 Tampa Ave Suite 101 Reseda CA 91335-1735 |
| Mailing Address |
4930 Balboa Blvd No 261278 Encino CA 91426-1278 |
| Practice Telephone | 8187181600 |
| Practice Fax Number | 8187181920 |
| Mailing Telephone | 8187181600 |
| Mailing Fax Number | 8187181920 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2014-09-12 |
| Authorized Official Name | LEO POLOSAJIAN (PRESIDENT) |
| Authorized Official Telephone | 8187181600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PERSONAL NPI NUMBER | 1174664783 | 01 |
| CA | CA LICENSE NUMBER | A81080 | 01 |
| Street Address |
7640 TAMPA AVE SUITE 101 |
| City | RESEDA |
| State | CA |
| Zip Code | 91335-1735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659807717 | Tampa Surgical Center LLC | Clinic/Center | 7640 Tampa Ave, Suite 102, Reseda, CA 91335-1700 | 2017-05-11 |
| 1861923625 | Mid-valley Surgical Center, Inc. | Clinic/Center | 7640 Tampa Ave, Suite 102, Reseda, CA 91335-1700 | 2017-03-23 |
| 1790187169 | Mid Valley Vascular Center, Inc | Clinic/Center | 7640 Tampa Ave, Suite 101a, Reseda, CA 91335-1735 | 2014-09-17 |
| 1396907119 | Moinakhtar Lala | Internal Medicine | 7640 Tampa Ave, Suite 101, Reseda, CA 91335-1735 | 2008-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968754 | Thomas Allen Hambright | Massage Therapist | 7510 Corbin Avenue, Unit #8, Reseda, CA 91335 | 2020-07-01 |
| 1558912014 | Harriet Ann Bickel | Technician | 18006 Hatton St., Reseda, CA 91335 | 2019-09-26 |
| 1528627106 | Topanga Hospice Care, Inc. | Hospice Care, Community Based | 5311 Topanga Canyon Blvd., Suite 302, Reseda, CA 91335 | 2019-06-07 |
| 1881174043 | Aludra Inc. | Hospice Care, Community Based | 18325 Sherman Way, Suite A, Reseda, CA 91335 | 2018-08-17 |
| 1417437658 | Buonora Development, Inc | Physical Therapist | 19325 Sherman Way, Reseda, CA 91335 | 2018-08-16 |
| 1770073793 | Deanna Marie Niekamp | Counselor | 7232 Canby Ave. #4,5,6, Reseda, CA 91335 | 2018-05-15 |
| 1013423383 | Bassa Logistic Inc | Non-emergency Medical Transport (VAN) | 19537 Valerio Street, Reseda, CA 91335 | 2017-12-21 |
| 1093237919 | Belinda Reser | Counselor | 7101 Baird St, Reseda, CA 91335 | 2017-07-12 |
| 1720500028 | Hermine Karapetyan | Hearing Instrument Specialist | 19367 Victory Blvd., Suite 14, Reseda, CA 91335 | 2017-07-09 |
| 1902352461 | Baird Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 7701 Baird Avenue, Reseda, CA 91335 | 2016-08-25 |
| Find all providers in zip 91335 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568027043 | Central Coast Cardiovascular Group Inc | Internal Medicine | 334 S Patterson Ave Ste 208, Santa Barbara, CA 93111-2400 | 2019-05-09 |
| 1225501133 | Mokabberi Md Inc | Internal Medicine | 1200 N Tustin Ave Ste 260, Santa Ana, CA 92705-3534 | 2019-01-03 |
| 1548780497 | Advanced Cardiology & Vascular Specialists | Internal Medicine | 51 N 5th Ave Ste 303, Arcadia, CA 91006-3711 | 2017-06-22 |
| 1407376304 | Christen A Hyde-treuhaft | Internal Medicine | 1526 Edgemont St., Icd Clinic, 2nd Floor Cardiology, Los Angeles, CA 90027 | 2017-06-21 |
| 1174956270 | Ravindra Prabhu Md A Medical Corporation | Internal Medicine | 754 Medical Center Ct., Suite 206, Chula Vista, CA 91911-6656 | 2013-08-13 |
| 1194022996 | David W. Orias, M.d. Inc. | Internal Medicine | 1700 N. Rose Avenue, Suite 420, Oxnard, CA 93030 | 2011-02-15 |
| 1750613329 | Desert Heart Rhythm Consultants Inc | Internal Medicine | 1100 North Palm Canyon Drive, 206, Palm Springs, CA 92262-4426 | 2010-02-08 |
| 1285968909 | Ccoc, Inc. | Internal Medicine | 333 Corporate Dr Ste 102, Ladera Ranch, CA 92694-2113 | 2009-09-28 |
| 1588890743 | Ruchir Sehra | Internal Medicine | Sandiego Va Hospital 3350 La Jolla Village Dr, Cardiology 111, San Diego, CA 92161-0001 | 2009-06-02 |
| 1154567394 | Ronald Carlish Medical Corporation | Internal Medicine | 135 E Live Oak Ave, Ste 205, Arcadia, CA 91006-5281 | 2008-12-17 |
| Find all providers with the same taxonomy | ||||
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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.