Organization
NEURO DIAGNOSTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHUSHANIK KHEROYAN (PRESIDENT)
(818) 240-9639
Entity
Organization
Contact information
Practice address
1405 W KENNETH RD, GLENDALE, CA 91201-1421
(818) 240-9639
(818) 240-9739
Mailing address
1405 W KENNETH RD, GLENDALE, CA 91201-1421
(818) 240-9639
(818) 240-9739
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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