Medical Group Imaging Center Of Glendale
LBN: Medical Group Imaging Center Of Glendale
Medical Group Imaging Center Of Glendale is an health care organization with primary practice located at 1030 S Glendale Ave #200, Glendale CA 91205-5612. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty.
Medical Group Imaging Center Of Glendale can be contacted via phone (818) 241-5072, or through Valenzuela, Severiano via phone (818) 241-5072.
Contact Information
Primary practice address
1030 S Glendale Ave #200
Glendale CA 91205-5612
Phone: (818) 241-5072
Fax:
Website:
Authorized official contact:
Name: Valenzuela, Severiano Doctor of Medicine (MD)
Phone: (818) 241-5072
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G206170 | California |
Profile Details
| NPI number | 1760569925 |
|---|---|
| LBN Legal business name | Medical Group Imaging Center Of Glendale |
| DBA Doing business as | |
| Authorized official | Valenzuela, Severiano Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760569925 | NPPES |
| California | MEDICAID | GR0021240 |
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