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

403 S Glendale Ave
Glendale, CA 91205-2222

Phone

(818) 546-1929

Fax

(818) 546-1930

NPI assigned

Apr 11, 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.NPI 1366450116

Title

President Ceo

Phone

(818) 548-8333

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
  • Sherman Oaks, CA
  • NPI 1467573402
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maurice J Hale, MD

  • Diagnostic Radiology Physician
  • Glendale, CA
  • NPI 1366450116
  NPD (past) Authorized official
• Kamran Koochek, M.D.

  • Diagnostic Radiology Physician
  • Sherman Oaks, CA
  • NPI 1922049501
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1740403104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE STE 100B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044375",
            "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": "403 S GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052222",
            "telephone_number": "818-546-1929",
            "fax_number": "818-546-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE DIAGNOSTIC IMAGING NETWORK MEDICAL OFFICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "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": "818-548-8333",
        "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": []
}

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• Diagnostic Radiology Physician in Glendale, CA
• Providers in Glendale, 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 Jul 15, 2026; 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.