# MEDWISE HEALTH & DIAGNOSTIC INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467640128
- **Authorized official:** MR. ALFRED KESHISHIANS (CEO/PRESIDENT)
- **Authorized official phone:** (818) 568-0006

## Contact information

- **Practice address:** 501 W GLENOAKS BLVD, 432, GLENDALE, CA 91202-2896
- **Practice address phone:** (818) 568-0006
- **Practice address fax:** (818) 241-3319
- **Mailing address:** 501 W GLENOAKS BLVD, 432, GLENDALE, CA 91202-2896
- **Mailing address phone:** (818) 568-0006
- **Mailing address fax:** (818) 241-3319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | A52415 | CA | Yes |

## Other

- **Enumeration date:** 10/09/2007
- **Last updated:** 10/09/2007