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GLENOAKS MEDICAL CENTER, INC.
NPI 1760526289
Internal Medicine in Glendale, CA

Active since February 17, 2007CLIA 05D0710396 · Waiver
1911 W GLENOAKS BLVD STE B, GLENDALE, CA 91201(818) 843-6640(818) 843-0347 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Glenoaks Medical Center, Inc. NPPES

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

GLENOAKS MEDICAL CENTER, INC. (NPI 1760526289) is a healthcare organization registered as an internal medicine in Glendale, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Laila Hanna, President, as its authorized official.

NPPES Registry Identity

NPI1760526289
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGLENOAKS MEDICAL CENTER, INC.
Location Address1911 W GLENOAKS BLVD STE BGlendale, CA 91201-4746
Mailing Address1911 W Glenoaks Blvd Ste BGlendale, CA 91201-4746 · (818) 843-6640 · Fax (818) 843-0347
Phone(818) 843-6640
Fax(818) 843-0347
Organization SubpartNo
Authorized OfficialLaila HannaPresident · (818) 843-6640
Enumeration DateFebruary 17, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1760526289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A52175
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1911 W GLENOAKS BLVD STE B, Glendale, CA 91201
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Other Identifiers 2

Medicare ID-Type UnspecifiedWA52175CCA
Medicare UPING63296CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 05D0710396

Glenoak Medical Center Inc · Glendale, CA
Active · expires Aug 31, 2026
CLIA Number05D0710396
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLaila Hanna
Laboratory Phone(818) 843-6640
Laboratory LocationGlenoak Medical Center Inc1911 West Glenoaks Blvd, Ste B, Glendale, CA 91201
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DIANA SHAHINYAN NP
Nurse Practitioner
1911 W GLENOAKS BLVD STE B
GLENDALE, CA 91201
Los Angeles County (818) 843-6640
MARIAN NAKIJOBA SERUNJOGI FNP
Nurse Practitioner (Family)
1911 W GLENOAKS BLVD STE B
GLENDALE, CA 91201
Los Angeles County (818) 843-6640
DIANA GEVORGYAN NP
Nurse Practitioner (Family)
1911 W GLENOAKS BLVD STE B
GLENDALE, CA 91201
Los Angeles County (818) 843-6640
AIMEE KYUNGSUN KIM
Nurse Practitioner (Family)
1911 W GLENOAKS BLVD STE B
GLENDALE, CA 91201
Los Angeles County (818) 843-6640

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenoaks Medical Center, Inc.'s NPI number?

The NPI number for Glenoaks Medical Center, Inc. is 1760526289. It was assigned to this organization in the NPPES registry on February 17, 2007.

Where is Glenoaks Medical Center, Inc. located?

Glenoaks Medical Center, Inc. is located at 1911 W Glenoaks Blvd Ste B, Glendale, CA 91201. The listed phone number is (818) 843-6640.

What is Glenoaks Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Glenoaks Medical Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0710396) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Glenoaks Medical Center, Inc. was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.