Medical Group Imaging Center Of Glendale

LBN: Medical Group Imaging Center Of Glendale
Medical Group Imaging Center Of Glendale is an health care organization with primary practice located at 1030 S Glendale Ave #200, Glendale CA 91205-5612. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Medical Group Imaging Center Of Glendale can be contacted via phone (818) 241-5072, or through Valenzuela, Severiano via phone (818) 241-5072.

Contact Information

Primary practice address
1030 S Glendale Ave #200 Glendale CA 91205-5612
Phone: (818) 241-5072
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Valenzuela, Severiano Doctor of Medicine (MD)
Phone: (818) 241-5072

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G206170 California

Profile Details

NPI number 1760569925
LBN Legal business name Medical Group Imaging Center Of Glendale
DBA Doing business as
Authorized official Valenzuela, Severiano Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Aug 22nd, 2020 - about 5 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 1760569925 NPPES
California MEDICAID GR0021240

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