GLENDORA RADIOLOGICAL ASSOC INC – NPI #1992797070
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

GLENDORA RADIOLOGICAL ASSOC INC is a radiologist located in COVINA, CA. NPPES has assigned the NPI number 1992797070 to GLENDORA RADIOLOGICAL ASSOC INC on August 16, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 7 years ago on Oct 04, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GLENDORA RADIOLOGICAL ASSOC INC below.

NPI Profile for
GLENDORA RADIOLOGICAL ASSOC INC

NPI Number
1992797070
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GLENDORA RADIOLOGICAL ASSOC INC
Primary location
414 E SAN BERNARDINO RD
COVINA, CA 91723-1704
Phone: (626) 339-5464 Fax: (626) 331-2313
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID UNDERWOOD
PRESIDENT
Phone: (626) 339-5464
Updated
Identifiers

Identifiers for GLENDORA RADIOLOGICAL ASSOC INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE SHIELD PROVIDERCAZZZ35484Z
OTHERBLUE SHIELD PROVIDERCAZZZ14525Z
OTHERRAIL ROAD MEDICARE GRP #CACP3326
MEDICAIDCAGR0011502
MEDICAIDCAGR0011500
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.