ELITE SURGICAL CLINIC, MEDICAL CORPORATION (NPI# 1982077269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982077269 |
| Entity Type | Organization |
| Organization Name | ELITE SURGICAL CLINIC, MEDICAL CORPORATION |
| Practice Address |
1510 S. Central Ave. Suite 100 Glendale CA 91204-2582 |
| Practice Telephone | 8182401820 |
| Practice Fax Number | 8182401021 |
| Mailing Telephone | 8182401820 |
| Mailing Fax Number | 8182401021 |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |
| Authorized Official Name | DR. SUSAN L CHOBANIAN (OWNER) |
| Authorized Official Telephone | 8182401820 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | G472240 | CA | Other Service Providers |
| Street Address |
1510 S. CENTRAL AVE. SUITE 100 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91204-2582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
| 1538633136 | Pathology La Inc. | Clinical Medical Laboratory | 4634 San Fernando Rd., Same As Above, Glendale, CA 91204 | 2019-01-16 |
| 1295254050 | Glendale Back and Pain Center | Neurological Surgery | 710 S. Central Ave, Suite 240, Glendale, CA 91204 | 2017-09-13 |
| 1285163568 | Ez Trans, Inc. | Transportation Broker | 1626 S. Central Ave., Glendale, CA 91204 | 2017-06-08 |
| 1194254474 | Jenny Chung | Pharmacist | 3943 San Fernando Road, Glendale, CA 91204 | 2017-06-08 |
| 1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1124454376 | Alber K. Karamanoukian Medical Clinic, Inc. | Clinic/Center | 810 S. Central Avenue, Suite 100, Glendale, CA 91204 | 2013-09-19 |
| 1548521156 | Glendale Plastic and Reconstructive Surgery Inc. | Plastic Surgery | 1500 S. Central Ave. #126, Glendale, CA 91204 | 2012-05-31 |
| Find all providers in zip 91204 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851352926 | Jason Chamikles | Legal Medicine | 7309 Myrtle Ave, Glendale, NY 11385-7418 | 2006-03-29 |
| 1770799660 | Chandrahas B. Patel | Legal Medicine | 6120 W Bell Rd, Suite 100, Glendale, AZ 85308-3781 | 2007-05-15 |
| 1447366042 | Mdnapoli, Inc | Legal Medicine | 18701 N 67th Ave, Glendale, AZ 85308-7100 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831659945 | Christopher C Duong | Legal Medicine | 2114 Pullman Ln # B, Redondo Beach, CA 90278-4914 | 2019-03-24 |
| 1538694088 | Manohar Sukumar | Legal Medicine | 601 W Civic Center Dr, 601 Civic Center Drive West, Santa Ana, CA 92701-4002 | 2017-04-21 |
| 1316471402 | Comp Legal Medical Group | Legal Medicine | 71 Bryson Dr, Sutter Creek, CA 95685-4115 | 2017-04-14 |
| 1003358375 | Globilling Inc | Legal Medicine | 5230 Las Virgenes Rd Ste 210, Calabasas, CA 91302-3448 | 2016-11-17 |
| 1124560172 | Exam-docs Dba Forensic Med Group | Legal Medicine | 960 E Alosta Ave # 203, Azusa, CA 91702-2709 | 2016-11-08 |
| 1770937393 | Lynn Barkley Burnett | Legal Medicine | 1336 N Wishon Ave, Fresno, CA 93728-2316 | 2016-04-20 |
| 1407218936 | Jose A Zepeda | Legal Medicine | 1266 Pepper Dr, El Centro, CA 92243-4302 | 2016-03-23 |
| 1912362443 | Paronian Medical Group, Inc. | Legal Medicine | 11631 Victory Blvd., Suite 105, North Hollywood, CA 91606 | 2015-12-29 |
| 1669841995 | Injury Center Medical Group Inc | Legal Medicine | 432 E Redlands Blvd, Suite C, San Bernardino, CA 92408-3718 | 2015-09-16 |
| 1306243662 | Physicians First Choice, LLC | Legal Medicine | 6626 Norman Ln, San Diego, CA 92120-3949 | 2014-12-02 |
| 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.