GLENDALE DIAGNOSTIC IMAGING NETWORK MEDICAL OFFICE INC (NPI# 1902814759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902814759 |
| Entity Type | Organization |
| Organization Name | GLENDALE DIAGNOSTIC IMAGING NETWORK MEDICAL OFFICE INC |
| Practice Address |
800 S Central Ave 100b Glendale CA 91204-4370 |
| Practice Telephone | 8185488333 |
| Practice Fax Number | 8185487888 |
| Mailing Telephone | 8185488333 |
| Mailing Fax Number | 8185487888 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2013-06-24 |
| Authorized Official Name | DR. MAURICE J HALE (PRESIDENT CEO) |
| Authorized Official Telephone | 8185488333 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G84687 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
800 S CENTRAL AVE 100B |
| City | GLENDALE |
| State | CA |
| Zip Code | 91204-4370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093752677 | Glendale Podiatry Group | Podiatrist | 800 S Central Ave, #302, Glendale, CA 91204-4370 | 2006-06-01 |
| 1619420916 | Alexander Tima | Acupuncturist | 800 S Central Ave, Suite 206, Glendale, CA 91204-4370 | 2016-08-03 |
| 1942665906 | Wfm Medical and Wellness Centers, Inc. | Acupuncturist | 800 S Central Ave, Suite 203, Glendale, CA 91204-4370 | 2015-12-17 |
| 1073907689 | All for Health Health for All Inc | Clinic/Center | 800 S Central Ave, Suite 308, Glendale, CA 91204-4370 | 2015-03-20 |
| 1780074138 | One Surgery Center LLC | Clinic/Center | 800 S Central Ave, Suite # 100a3, Glendale, CA 91204-4370 | 2015-01-23 |
| 1861827727 | Imanoel Pharmacy, Inc. | Pharmacy | 800 S Central Ave, Suite 101a, Glendale, CA 91204-4370 | 2013-09-11 |
| 1194062133 | Amaiak Chilingaryan, M.d., Inc | Psychiatry & Neurology | 800 S Central Ave, 307, Glendale, CA 91204-4370 | 2013-01-10 |
| 1144574484 | California Surgical Multi-specialty Group Inc. | Surgery | 800 S Central Ave, 212, Glendale, CA 91204-4370 | 2012-11-08 |
| 1700139987 | Jacqueline Anne Gabardy | Acupuncturist | 800 S Central Ave, Suite 302, Glendale, CA 91204-4370 | 2012-10-24 |
| 1205146990 | George B. Stoneman, Md, A Professional Corporation | Otolaryngology | 800 S Central Ave, Suite 204, Glendale, CA 91204-4370 | 2010-10-14 |
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| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
| 1538633136 | Pathology La Inc. | Clinical Medical Laboratory | 4634 San Fernando Rd., Same As Above, Glendale, CA 91204 | 2019-01-16 |
| 1295254050 | Glendale Back and Pain Center | Neurological Surgery | 710 S. Central Ave, Suite 240, Glendale, CA 91204 | 2017-09-13 |
| 1285163568 | Ez Trans, Inc. | Transportation Broker | 1626 S. Central Ave., Glendale, CA 91204 | 2017-06-08 |
| 1194254474 | Jenny Chung | Pharmacist | 3943 San Fernando Road, Glendale, CA 91204 | 2017-06-08 |
| 1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1124454376 | Alber K. Karamanoukian Medical Clinic, Inc. | Clinic/Center | 810 S. Central Avenue, Suite 100, Glendale, CA 91204 | 2013-09-19 |
| 1548521156 | Glendale Plastic and Reconstructive Surgery Inc. | Plastic Surgery | 1500 S. Central Ave. #126, Glendale, CA 91204 | 2012-05-31 |
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| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
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| 1780154153 | Bay Imaging Consultants Medical Group | Radiology | 435 W Los Feliz Rd Unit 462, Glendale, CA 91204-3569 | 2018-11-28 |
| 1851893317 | Main Street Radiology At Bayside LLC | Radiology | 8314 Cooper Ave, Glendale, NY 11385-7722 | 2018-03-01 |
| 1609284660 | Armen Aivazi | Radiology | 3335 Deer Creek Ln, Glendale, CA 91208-1166 | 2014-07-23 |
| 1043543275 | Smi Imaging, LLC | Radiology | 5410 W Thunderbird Rd Ste 221, Glendale, AZ 85306-4711 | 2009-09-04 |
| 1558594747 | Smi Imaging, LLC | Radiology | 5410 W Thunderbird Rd Ste 100, Glendale, AZ 85306-4711 | 2009-09-03 |
| 1336387059 | Saadet Atay-rosenthal | Radiology | 5601 W Saguaro Park Ln, Glendale, AZ 85310-2815 | 2009-02-03 |
| 1912166968 | Jeanne C Lammering | Radiology | 1144 Cordova Ave, Glendale, CA 91207-1751 | 2008-06-05 |
| 1740403104 | Glendale Diagnostic Imaging Network Medical Office, Inc | Radiology | 403 S Glendale Ave, Glendale, CA 91205-2222 | 2007-04-11 |
| 1689750382 | James Chouming Wu | Radiology | 1420 South Central Avenue, Glendale, CA 91204 | 2006-10-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.