Organization · Type 2 NPI
Glendale Diagnostic Imaging Network Medical Office, Inc.
Diagnostic Radiology Physician · Sherman Oaks, CA
NPI number
1467573402
Active
Practice location
4910 Van Nuys Blvd Ste 110
Sherman Oaks, CA 91403-1782
Mailing address
1220 S Central Ave Ste 201
Glendale, CA 91204-3811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | G84687 (CA) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1467573402
Glendale Diagnostic Imaging Network Medical Office, Inc.'s National Provider Identifier is 1467573402, issued on Apr 3, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Sherman Oaks, CA. The record was last updated on Sep 19, 2007.