Organization Active NPI

Universal Multi Modality Diagnostic Medical Center, Apc

  • Cardiovascular Disease Physician
  • Glendale, CA
National Provider Identifier
1669497541
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A41072 Issued in CA
Legal business name
UNIVERSAL MULTI MODALITY DIAGNOSTIC MEDICAL CENTER, APC
Practice address
815 E Colorado St Ste 200
Glendale, CA 91205-1298
Phone
(818) 244-5444
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Yuzef Gurovich, M.D.
Title
M.D.
Phone
(818) 244-5444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X A41072 CA Primary

Addresses

Primary practice location

815 E Colorado St Ste 200
Glendale, CA 91205-1298

Mailing address

815 E. Colorado St # 200
Glendale, CA 91205
Phone (818) 244-5444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669497541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E. COLORADO ST # 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91205",
            "telephone_number": "818-244-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E COLORADO ST STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051298",
            "telephone_number": "818-244-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL MULTI MODALITY DIAGNOSTIC MEDICAL CENTER, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUROVICH",
        "authorized_official_first_name": "YUZEF",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "818-244-5444",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A41072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.