Healthcare Provider Details

I. General information

NPI: 1215860945
Provider Name (Legal Business Name): L A SURGICAL INSTITUTE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 S GLENDALE AVE
GLENDALE CA
91205-1109
US

IV. Provider business mailing address

124 S GLENDALE AVE
GLENDALE CA
91205-1109
US

V. Phone/Fax

Practice location:
  • Phone: 818-338-5040
  • Fax: 818-396-4448
Mailing address:
  • Phone: 818-338-5040
  • Fax: 818-396-4448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. LUSINE APIKYAN
Title or Position: NP/RN
Credential: NP
Phone: 323-806-9898