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BEVERLY RADIOLOGY MEDICAL GROUP NPI 1104145549


NPI Information

NPI: 1104145549
Provider Name: BEVERLY RADIOLOGY MEDICAL GROUP

Doing Business As: GLENDALE ADVANCED IMAGING CENTER

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
800 S CENTRAL AVE
SUITE B
GLENDALE, CA
ZIP 91204
Phone: (310) 445-4800
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BEVERLY RADIOLOGY MEDICAL GROUP is a diagnostic radiology radiology in Glendale, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BEVERLY RADIOLOGY MEDICAL GROUP NPI is 1104145549. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Glendale Advanced Imaging Center.

The provider's business location address is:

800 S CENTRAL AVE
SUITE B
GLENDALE, CA
ZIP 91204-370
Phone: (310) 445-4800

The provider's authorized official is Harold G. Berger .
The authorized official title is Ceo & President and has the following contact phone number (310) 445-4800.

The enumeration date for this NPI number is 5/25/2010 and was last updated on 5/25/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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