Organization
GLENDALE DIAGNOSTIC IMAGING NETWORK MEDICAL OFFICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURICE J HALE MD (PRESIDENT CEO)
(818) 548-8333
Entity
Organization
Contact information
Practice address
800 S CENTRAL AVE, 100B, GLENDALE, CA 91204-4370
(818) 548-8333
(818) 548-7888
Mailing address
800 S CENTRAL AVE, 100B, GLENDALE, CA 91204-4370
(818) 548-8333
(818) 548-7888
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G84687
CA
Other
Enumeration date
08/04/2006
Last updated
06/24/2013
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