Organization
GLENDALE INTERNAL MEDICINE AND CARDIOLOGY MEDICAL GROUP, INC
Active
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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