Glenn P. Wedeen Md A Medical Corporation

LBN: Glenn P. Wedeen Md A Medical Corporation
Glenn P. Wedeen Md A Medical Corporation is an health care organization with primary practice located at 15248 11Th St , Victorville CA 92395-3704. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Glenn P. Wedeen Md A Medical Corporation can be contacted via phone (760) 245-8691, or through Wedeen, Glenn P via phone (626) 357-8535.

Contact Information

Primary practice address
15248 11Th St Victorville CA 92395-3704
Phone: (760) 245-8691
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wedeen, Glenn P Doctor of Medicine (MD)
Phone: (626) 357-8535

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G75574 California

Profile Details

NPI number 1114063294
LBN Legal business name Glenn P. Wedeen Md A Medical Corporation
DBA Doing business as
Authorized official Wedeen, Glenn P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114063294 NPPES
California Other G75574 STATE LICENSE

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