# GLENDALE SURGICAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pacific Coast OMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205090610
- **Authorized official:** DR. NAM CHO M.D., D.D.S. (PARTNER/OWNER)
- **Authorized official phone:** (206) 356-0449

## Contact information

- **Practice address:** 1146 N BRAND BLVD, GLENDALE, CA 91202-2504
- **Practice address phone:** (818) 241-4217
- **Mailing address:** 221 E GLENOAKS BLVD, SUITE \#140, GLENDALE, CA 91207
- **Mailing address phone:** (818) 241-4217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 37945 | CA | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | OMS71 | CA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | OMS94 | CA | — |

## Other

- **Enumeration date:** 07/15/2008
- **Last updated:** 04/20/2018