Healthcare Provider Details

I. General information

NPI: 1598481582
Provider Name (Legal Business Name): SAINT GREGORY HEART AND VASCULAR CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2022
Last Update Date: 11/21/2023
Certification Date: 11/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1560 E CHEVY CHASE DR STE 400
GLENDALE CA
91206-4197
US

IV. Provider business mailing address

1560 E CHEVY CHASE DR STE 400
GLENDALE CA
91206-4159
US

V. Phone/Fax

Practice location:
  • Phone: 800-626-2468
  • Fax: 951-272-1598
Mailing address:
  • Phone: 818-405-5040
  • Fax: 818-405-5041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SARKIS KIRAMIJYAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 818-335-3110