Organization
GLENDALE DIAGNOSTIC IMAGING NETWORK MEDICAL OFFICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE J HALE M.D. (PRESIDENT CEO)
(818) 986-8215
Entity
Organization
Contact information
Practice address
4910 VAN NUYS BLVD STE 110, SHERMAN OAKS, CA 91403-1782
(818) 986-8215
Mailing address
1220 S CENTRAL AVE STE 201, GLENDALE, CA 91204-3811
(818) 548-8333
(818) 548-7888
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G84687
CA
Other
Enumeration date
04/03/2007
Last updated
09/19/2007
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