Glendale Diagnostic Imaging Network Medical Office, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G84687 Issued in CA

Legal business name

GLENDALE DIAGNOSTIC IMAGING NETWORK MEDICAL OFFICE, INC.

Practice address

4910 Van Nuys Blvd Ste 110
Sherman Oaks, CA 91403-1782

Phone

(818) 986-8215

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Maurice J Hale, M.D.

Title

President Ceo

Phone

(818) 986-8215

Specialties & licenses 1

Addresses

Tax ID family

Glendale Diagnostic Imaging Network Medical Office Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Glendale Diagnostic Imaging Network Medical Office, Inc

  • Diagnostic Radiology Physician
  • Glendale, CA
  • NPI 1740403104
  NPD tax ID

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1467573402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 S CENTRAL AVE STE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043811",
            "telephone_number": "818-548-8333",
            "fax_number": "818-548-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 VAN NUYS BLVD STE 110",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031782",
            "telephone_number": "818-986-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE DIAGNOSTIC IMAGING NETWORK MEDICAL OFFICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "818-986-8215",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G84687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keren-Or Givol, LMFT
• Sylvia Glad
• Catherine Ann Gladki
• Thomas A Glassman, M.D.
• Glen Lawlor Jr Medical Corp
• Myri H Glentzer
• Evelyn Chaya Gleyzer, LCSW
• Global Med Management LLC
• Kate Deegan Glodney, SUD COUNSELOR
• Glow Coaching and Consulting LLC

• Diagnostic Radiology Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.