Healthcare Provider Details

I. General information

NPI: 1780368993
Provider Name (Legal Business Name): ORTHOPEDIC URGENT CARE HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2023
Last Update Date: 06/09/2023
Certification Date: 06/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 S BRAND BLVD
GLENDALE CA
91204-1701
US

IV. Provider business mailing address

317 S BRAND BLVD
GLENDALE CA
91204-1701
US

V. Phone/Fax

Practice location:
  • Phone: 818-338-6860
  • Fax: 888-425-9079
Mailing address:
  • Phone: 818-338-6860
  • Fax: 888-425-9079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MAXIM MORADIAN
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 818-338-6860