MEDICARE: NEW HORIZON MEDICAL CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1831704063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HORIZON MEDICAL CENTER, INC.

Provider Business Mailing Address
First Line	:	1101 N PACIFIC AVE STE 103
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91202-4312
Country	:	US
Telephone Number	:	818-247-7447
Fax Number	:	818-247-1484

Provider Business Practice Location Address
First Line	:	1101 N PACIFIC AVE STE 103
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91202-4312
Country	:	US
Telephone Number	:	818-247-7447
Fax Number	:	818-247-1484

Authorized Official
Title or Position	:	CEO
Name	:	DR. ARMEN KAZANCHIAN
Credential	:	MD
Telephone Number	:	818-247-7447

Provider Enumeration Date	:	09/14/2020
Last Update Date	:	09/14/2020

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