Medwise Health & Diagnostic Inc.

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

A52415 Issued in CA

Legal business name

MEDWISE HEALTH & DIAGNOSTIC INC.

Practice address

501 W Glenoaks Blvd
432
Glendale, CA 91202-2896

Phone

(818) 568-0006

Fax

(818) 241-3319

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Alfred Keshishians

Title

Ceo/President

Phone

(818) 568-0006

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1467640128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W GLENOAKS BLVD",
            "address_2": "432",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022896",
            "telephone_number": "818-568-0006",
            "fax_number": "818-241-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W GLENOAKS BLVD",
            "address_2": "432",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022896",
            "telephone_number": "818-568-0006",
            "fax_number": "818-241-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWISE HEALTH & DIAGNOSTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "KESHISHIANS",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "818-568-0006",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "CA",
            "license": "A52415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "A52415",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Glendale, CA
• Providers in Glendale, CA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.