HOLY CROSS URGENT CARE, INC
NPI 1750894879
Clinic/Center - Urgent Care in Los Angeles, CA

Active since November 11, 2017CLIA 05D2154204 · Waiver
4864 SANTA MONICA BLVD, LOS ANGELES, CA 90029(323) 661-2700 Get Directions Write a Review

NPPES record last updated: November 11, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Holy Cross Urgent Care, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLY CROSS URGENT CARE, INC (NPI 1750894879) is a healthcare organization registered as an urgent care in Los Angeles, California and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through September 6, 2026 and lists Manuk Chulyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1750894879
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameHOLY CROSS URGENT CARE, INC
Location Address4864 SANTA MONICA BLVDLos Angeles, CA 90029-2634
Mailing Address4864 Santa Monica BlvdLos Angeles, CA 90029-2634 · (323) 661-2700
Organization SubpartNo
Authorized OfficialManuk ChulyanCeo · (323) 661-2700
Enumeration DateNovember 11, 2017
NPI 1750894879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
4864 SANTA MONICA BLVD, Los Angeles, CA 90029

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2154204

Holy Cross Urgent Care Inc · Los Angeles, CA
Active · expires Sep 6, 2026
CLIA Number05D2154204
Laboratory TypeUrgent Care
Certificate Effective DateSeptember 7, 2024
Certificate Expiration DateSeptember 6, 2026
Laboratory DirectorArbi Ayvazian
Laboratory Phone(323) 660-7770
Laboratory LocationHoly Cross Urgent Care Inc4864 Santa Monica Blvd, Los Angeles, CA 90029
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4864 SANTA MONICA BLVD
LOS ANGELES, CA 90029
General Practice
4864 SANTA MONICA BLVD
LOS ANGELES, CA 90029

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750894879, enumerated as an "organization" on November 11, 2017.

The provider is located at 4864 SANTA MONICA BLVD LOS ANGELES, CA 90029 and the phone number is (323) 661-2700.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.