GLENDORA RADIOLOGICAL ASSOC INC NPI 1992797070

NPI Information

  • NPI: 1992797070
  • Provider Name: GLENDORA RADIOLOGICAL ASSOC INC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 414 E SAN BERNARDINO RD
    COVINA, CA
    ZIP 91723
  • Phone: (626) 339-5464

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NPI Details

GLENDORA RADIOLOGICAL ASSOC INC is a diagnostic radiology radiology in Covina, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. GLENDORA RADIOLOGICAL ASSOC INC NPI is 1992797070. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

414 E SAN BERNARDINO RD
COVINA, CA
ZIP 91723-704
Phone: (626) 339-5464
Fax: (626) 331-2313

The provider's authorized official is David J. Underwood .
The authorized official title is President and has the following contact phone number (626) 339-5464.

The enumeration date for this NPI number is 8/16/2005 and was last updated on 10/4/2019.

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
12085R0202XRadiologyDiagnostic RadiologyYes

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
1CP3326OTHERCALIFORNIARAIL ROAD MEDICARE GRP #
2ZZZ14525ZOTHERCALIFORNIABLUE SHIELD PROVIDER
3GR0011502MEDICAIDCALIFORNIA
4ZZZ35484ZOTHERCALIFORNIABLUE SHIELD PROVIDER
5GR0011500MEDICAIDCALIFORNIA

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: 11/21/2025

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