# CHEVY CHASE AMBULATORY CENTER LP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497733661
- **Authorized official:** MR. RAFFI SARKISSIAN (ADMINISTRATOR)
- **Authorized official phone:** (818) 265-2227

## Contact information

- **Practice address:** 801 S CHEVY CHASE DR, SUITE \#106, GLENDALE, CA 91205-4431
- **Practice address phone:** (818) 265-2275
- **Practice address fax:** (818) 649-1034
- **Mailing address:** 801 S CHEVY CHASE DR, SUITE \#106, GLENDALE, CA 91205-4431
- **Mailing address phone:** (818) 265-2275
- **Mailing address fax:** (818) 649-1034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 550000021 | CA | Yes |

## Other

- **Enumeration date:** 01/06/2006
- **Last updated:** 06/26/2023