# ALBER K. KARAMANOUKIAN MEDICAL CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Glendale St. Mary's Surgical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124454376
- **Authorized official:** ALBER KARAMANOUKIAN MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (818) 242-6173

## Contact information

- **Practice address:** 810 S. CENTRAL AVENUE, SUITE 100, GLENDALE, CA 91204
- **Practice address phone:** (818) 242-6173
- **Practice address fax:** (818) 242-6799
- **Mailing address:** 810 S. CENTRAL AVENUE, SUITE 100, GLENDALE, CA 91204
- **Mailing address phone:** (818) 242-6173
- **Mailing address fax:** (818) 242-6799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/19/2013
- **Last updated:** 04/23/2014