Organization
GLENDORA RADIOLOGICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY MARTINEZ (ADMINISTRATIVE ASSISTANT)
(626) 339-5464
Entity
Organization
Contact information
Practice address
414 E SAN BERNARDINO RD, COVINA, CA 91723-1704
(626) 339-5464
(626) 331-2328
Mailing address
PO BOX 5010, GLENDORA, CA 91740-0735
(626) 339-5464
(626) 331-2328
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
A112453
CA
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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