Organization
BRAND SURGICAL INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL SAMVALIAN (CEO)
(818) 402-7759
Entity
Organization
Contact information
Practice address
716 W BROADWAY, GLENDALE, CA 91204-1010
(818) 243-9999
(818) 243-9012
Mailing address
1141 N BRAND BLVD STE 200, GLENDALE, CA 91202-2577
(818) 243-9999
(818) 243-9999
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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