KMG DIAGNOSTIC INC NPI 1932293503

NPI Information

KMG DIAGNOSTIC INC is a point of service in Glendale, CA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. KMG DIAGNOSTIC INC NPI is 1932293503. The provider is registered as an organization entity type.

The provider's business location address is:

326 E BROADWAY BLVD
GLENDALE, CA
ZIP 91205-011
Phone: (818) 548-5665
Fax: (818) 548-5600

The provider's authorized official is Mesrop Konanyan .
The authorized official title is Ceo and has the following contact phone number (818) 548-5665.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 6/19/2008.

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:

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