Organization
GLENDALE INTERNAL MEDICINE AND CARDIOLOGY MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR SADRZADEH RAFIE MD (PRESIDENT)
(818) 242-4191
Entity
Organization
Contact information
Practice address
500 N CENTRAL AVE STE 800, GLENDALE, CA 91203-3345
(818) 242-4191
(818) 242-4811
Mailing address
500 N CENTRAL AVE STE 800, GLENDALE, CA 91203-3345
(818) 242-4191
(818) 242-4811
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ77955Z
—
CA
Enumeration date
04/25/2006
Last updated
07/18/2023
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