Organization
MEDWISE HEALTH & DIAGNOSTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED KESHISHIANS (CEO/PRESIDENT)
(818) 568-0006
Entity
Organization
Contact information
Practice address
501 W GLENOAKS BLVD, 432, GLENDALE, CA 91202-2896
(818) 568-0006
(818) 241-3319
Mailing address
501 W GLENOAKS BLVD, 432, GLENDALE, CA 91202-2896
(818) 568-0006
(818) 241-3319
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
A52415
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A52415
MEDICAL LICENSE NUMBER
CA
Enumeration date
10/09/2007
Last updated
10/09/2007
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