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Organization
ELITE SURGICAL CLINIC, MEDICAL CORPORATION
Active
Organization
ELITE SURGICAL CLINIC, MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN L CHOBANIAN M.D. (OWNER)
(818) 240-1820
Entity
Organization
Contact information
Practice address
1510 S. CENTRAL AVE., SUITE 100, GLENDALE, CA 91204-2582
(818) 240-1820
(818) 240-1021
Mailing address
1510 S. CENTRAL AVE., SUITE 100, GLENDALE, CA 91204-2582
(818) 240-1820
(818) 240-1021
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
G472240
CA
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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