# EDWARD SAMOURJIAN MEDICAL CORPORATION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EDWARD SAMOURJIAN MEDICAL CORPORATION, INC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508593617
- **Authorized official:** EDWARD SAMOURJIAN MD (PRESIDENT)
- **Authorized official phone:** (818) 230-6522

## Contact information

- **Practice address:** 1030 S GLENDALE AVE STE 503, GLENDALE, CA 91205-2820
- **Practice address phone:** (818) 230-6522
- **Practice address fax:** (818) 230-6523
- **Mailing address:** PO BOX 11719, BURBANK, CA 91510-1719
- **Mailing address phone:** (818) 504-7265
- **Mailing address fax:** (818) 504-7203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2022
- **Last updated:** 02/20/2025