Organization
BROADWAY WELLNESS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SILVA MORADI (CEO)
(818) 696-0091
Entity
Organization
Contact information
Practice address
435 ARDEN AVE SUITE 520, GLENDALE, CA 91203
(818) 696-0091
(818) 484-2449
Mailing address
435 ARDEN AVE SUITE 520, GLENDALE, CA 91203
(818) 696-0091
(818) 484-2449
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
03/23/2021
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