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BROADWAY WELLNESS CENTER, INC.
NPI 1700417797
Clinic/Center - Ambulatory Surgical in Glendale, CA

Active since January 29, 2020
435 ARDEN AVE SUITE 520, GLENDALE, CA 91203(818) 696-0091(818) 484-2449 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 23, 2021, Jan 29, 2020 (2 updates tracked since 2020).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About BROADWAY WELLNESS CENTER, INC.

This page provides the complete NPI Profile along with additional information for Broadway Wellness Center, Inc., a provider established in Glendale, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1700417797 assigned on January 2020. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Silva Moradi (Ceo)

NPI
1700417797 Verify this NPI
Provider Name
BROADWAY WELLNESS CENTER, INC.
Entity Type
Organization
Location Address
435 ARDEN AVE SUITE 520 GLENDALE, CA 91203
Location Phone
(818) 696-0091
Location Fax
(818) 484-2449
Mailing Address
435 ARDEN AVE SUITE 520 GLENDALE, CA 91203
Mailing Phone
(818) 696-0091
Mailing Fax
(818) 484-2449
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-29-2020
Last Update Date
03-23-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SILVA MORADI

Authorized Official Title
CEO
Authorized Official Phone
(818) 696-0091

Reviews for BROADWAY WELLNESS CENTER, INC.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

AVALON SURGERY AND ROBOTIC CENTER, LLC
Clinic/Center (Ambulatory Surgical)
435 ARDEN AVE SUITE 520
GLENDALE, CA 91203
Los Angeles County (818) 696-0091

Frequently Asked Questions

What is BROADWAY WELLNESS CENTER, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1700417797, enumerated as an "organization" on January 29, 2020.

Where is the provider located?

The provider is located at 435 ARDEN AVE SUITE 520 GLENDALE, CA 91203 and the phone number is (818) 696-0091.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.