MRI HEALTHCARE CENTER OF GLENDALE NPI 1275612509

NPI Information

NPI: 1275612509
Provider Name: MRI HEALTHCARE CENTER OF GLENDALE
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1109 S CENTRAL AVE
GLENDALE, CA
ZIP 91204
Phone: (818) 244-4646
Get Directions

MRI HEALTHCARE CENTER OF GLENDALE 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. MRI HEALTHCARE CENTER OF GLENDALE NPI is 1275612509. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1109 S CENTRAL AVE
GLENDALE, CA
ZIP 91204-212
Phone: (818) 244-4646

The provider's authorized official is Severiano Valenzuela .
The authorized official title is Radiologistmedical Director and has the following contact phone number (818) 244-4646.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	G206170	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DIAA00310	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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