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NPI Profile for BROADWAY IMAGING MEDICAL CENTER in GLENDALE, CA.
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Magnetic Resonance Imaging (MRI) |
207RM1200X | 11 | Physician/Internal Medicine |
| NPI Number | 1497708002 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/18/2006 | |
| Last updated | 08/12/2018 - About 8 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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BROADWAY IMAGING MEDICAL CENTER
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BROADWAY IMAGING MEDICAL CENTER