Glendale Diagnostic Imaging Network Medical Office, Inc.

NPI 1467573402 - Radiology - 2085R0202X

NPI Details
NPI 1467573402
Enumeration Date 04/03/2007
Last Updated 09/19/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MAURICE J MAURICE
Position PRESIDENT CEO
Phone (818) 986-8215
Fax
Practice Location
4910 VAN NUYS BLVD STE 110
SHERMAN OAKS CA, 91403-1782, US
Phone (818) 986-8215
Fax
Business Location
1220 S CENTRAL AVE STE 201
GLENDALE CA, 91204-3811, US
Phone (818) 548-8333
Fax (818) 548-7888
Toxanomy
Taxonomy Code 2085R0202X
License State California
License Number G84687
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According to our database, Glendale Diagnostic Imaging Network Medical Office, Inc. NPI is 1467573402, taxonomy code is 2085R0202X and license number is G84687, license state is located at California. Glendale Diagnostic Imaging Network Medical Office, Inc. physically located at 4910 Van Nuys Blvd Ste 110, Sherman Oaks CA, 91403-1782. NPI Number 1033115704 has the healthcare provider type.

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1467573402 NPI number is provided on an as is basis without warranty of any kind. 1467573402 is maintained by the National Plan & Provider Enumeration System. The contents of Glendale Diagnostic Imaging Network Medical Office, Inc. are for informational purposes only.