Organization
GLENOAKS PODIATRY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GULBENK SHIRVANIAN JR. DPM (PRESIDENT)
(818) 500-1888
Entity
Organization
Contact information
Practice address
844 WEST GLENOAKS BLVD, GLENDALE, CA 91202-2134
(818) 500-1888
(818) 500-0695
Mailing address
844 WEST GLENOAKS BLVD, GLENDALE, CA 91202-2134
(818) 500-1888
(818) 500-0695
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E2857
CA
213E00000X
Podiatrist
Primary
E2979
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GRE00160
—
CA
Enumeration date
01/05/2007
Last updated
01/07/2011
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