Hi Diagnostic Imaging Group, Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

A46577 Issued in CA

Legal business name

HI DIAGNOSTIC IMAGING GROUP, INC

Practice address

318 W Colorado St Ste 2
Glendale, CA 91204-1670

Phone

(818) 242-5588

Fax

(818) 242-3730

NPI assigned

Sep 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mansour Tafazoli, M.D.

Title

Radiologist

Phone

(818) 242-5588

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1245427871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W COLORADO ST STE 2",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041670",
            "telephone_number": "818-242-5588",
            "fax_number": "818-242-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W COLORADO ST STE 2",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041670",
            "telephone_number": "818-242-5588",
            "fax_number": "818-242-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HI DIAGNOSTIC IMAGING GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "TAFAZOLI",
        "authorized_official_first_name": "MANSOUR",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "818-242-5588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "A46577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in Glendale, CA
• Providers in Glendale, CA by specialty
• Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.