Organization
ENT SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HRAIR A KOUTNOUYAN MD (PARTNER)
(818) 241-2101
Entity
Organization
Contact information
Practice address
1505 WILSON TER, #270, GLENDALE, CA 91206-4071
(818) 241-2101
(818) 241-2166
Mailing address
1505 WILSON TER, #270, GLENDALE, CA 91206-4071
(818) 241-2101
(818) 241-2166
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ8786
RAILROAD MEDICARE
CA
01
—
CJ8787
RAILROAD MEDICARE
CA
05
—
GR0088300
—
CA
01
—
ZZZ56084Z
BLUE SHIELD
CA
01
—
ZZZ61447Z
BLUE SHIELD
CA
Enumeration date
12/27/2005
Last updated
03/09/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us