ELECTRO DIAGNOSTIC MEDICINE , NPI 1417495904
Clinic/Center in GLENDALE, CA
Last Updated on : Feb 06,2017
About ELECTRO DIAGNOSTIC MEDICINE (NPI 1417495904)
ELECTRO DIAGNOSTIC MEDICINE is a Clinic/Center in GLENDALE, United States with a focus in Physical Therapy .
1417495904 is NPI number of ELECTRO DIAGNOSTIC MEDICINE.
ELECTRO DIAGNOSTIC MEDICINE's primary taxonomy code based on NPI Lookup is 261QP2000X with license number PT12456. This taxonomy code refers to Clinic/Center.
ELECTRO DIAGNOSTIC MEDICINE current practice location address is 1407 HILLSIDE DR, GLENDALE, CA. ELECTRO DIAGNOSTIC MEDICINE can be reached out via phone at 818-547-9870 .
You can also correspond with ELECTRO DIAGNOSTIC MEDICINE through mail at mailing address 5635 CAHUENGA BLVD, NORTH HOLLYWOOD, CA, United States. Mailing address contact number is 818-308-7450.
The enumeration date of ELECTRO DIAGNOSTIC MEDICINE is 06-Feb-2017. The provider is registered as an Organization and the NPI record was last updated 6 years ago. The authorized official of ELECTRO DIAGNOSTIC MEDICINE is ALIASGHAR MATIN (provider). ALIASGHAR MATIN can be reached at 8183087450.1417495904 NPI Information
Basic NPI information of ELECTRO DIAGNOSTIC MEDICINE (NPI 1417495904) is provided below.
| Name | ELECTRO DIAGNOSTIC MEDICINE |
|---|---|
| National Provider Id (NPI) | 1417495904 |
| Entity Type | Organization |
| Practice Address | 1407 HILLSIDE DR,
GLENDALE, CA, United States |
| Practice Telephone | 818-547-9870 |
| Practice Fax Number | |
| Mailing Address | 5635 CAHUENGA BLVD ,
NORTH HOLLYWOOD, CA, United States |
| Mailing Telephone | 818-308-7450 |
| Mailing Fax Number | |
| Enumeration Date | 06-Feb-2017 |
| Last Updated Date | 06-Feb-2017 |
ELECTRO DIAGNOSTIC MEDICINE (NPI 1417495904) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 261QP2000X | Clinic/Center, Physical Therapy | PT12456 | CA |
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
ELECTRO DIAGNOSTIC MEDICINE (NPI 1417495904) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 204R00000X | Electrodiagnostic Medicine | A97751 | CA |
| N | 2081N0008X | Physical Medicine & Rehabilitation, Neuromuscular Medicine | A97751 | CA |
| N | 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | A97751 | CA |
| N | 291U00000X | Clinical Medical Laboratory | A97751 | CA |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1679730923 | MEDICAID (05) | CA |
ELECTRO DIAGNOSTIC MEDICINE (NPI 1417495904) Office Location
Office location of ELECTRO DIAGNOSTIC MEDICINE is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1427069913 | 1560 PHARMACY | Pharmacy | 1560 E CHEVY CHASE DR,
STE 110 GLENDALE, CA, United States |
10-Aug-2006 |
| 1659979292 | 1800MEDIVAN, INC | Non-emergency Medical Transport (VAN) | 15159 PALMDALE RD,
VICTORVILLE, CA, United States |
15-Oct-2020 |
| 1902359474 | 1ST HOSPICE, INC. | Hospice Care, Community Based | 434 W COLORADO ST,
202 GLENDALE, CA, United States |
01-Aug-2016 |
| 1912304999 | 1ST MEDICAL HEALTH PC | Family Medicine | 801 S CHEVY CHASE DR STE 103,
GLENDALE, CA, United States |
19-Nov-2014 |
| 1801551171 | 1ST SOLUTION HOME HEALTH, INC. | Home Health | 1314 W GLENOAKS BLVD STE 106,
GLENDALE, CA, United States |
02-Nov-2021 |
| 1346317534 | 20 10 VISION ASSOCIATES P C | Optometrist | 7780 W ARROWHEAD TOWNE CTR,
GLENDALE, AZ, United States |
30-Nov-2006 |
| 1164805081 | 20/20 IMAGE GLENDALE PLC | Optometrist | 6666 W PEORIA AVE,
SUITE 108-109 GLENDALE, AZ, United States |
09-Jul-2015 |
| 1558721308 | 2020 CAR SERVICE INC | Taxi | 6614 MYRTLE AVE,
GLENDALE, NY, United States |
07-Mar-2016 |
| 1730755919 | 24 7 HOSPICE SERVICES INC | Hospice Care, Community Based | 126 S JACKSON ST STE 304A,
GLENDALE, CA, United States |
28-May-2021 |
| 1750973285 | 24 CARE HOSPICE | Hospice Care, Community Based | 1800 BROADVIEW DR STE 261-M,
GLENDALE, CA, United States |
05-Feb-2021 |
| 1811693617 | 247LACS LLC | Non-emergency Medical Transport (VAN) | 201 N BRAND BLVD UNIT 200,
GLENDALE, CA, United States |
02-Feb-2023 |
| 1780098228 | 2ND CHANCE TREATMENT CENTERS LLC | Psychiatry & Neurology, Addiction Psychiatry | 16620 N 40TH ST STE E-1,
PHOENIX, AZ, United States |
12-Jun-2014 |
| 1841712908 | 360 PHYSICAL THERAPY LLC | Physical Medicine & Rehabilitation | 6630 W CACTUS RD STE B112,
GLENDALE, AZ, United States |
11-Jul-2017 |
| 1508534934 | 4 SEASON DETOX AND RECOVERY HOUSE INC | Clinic/Center, Rehabilitation, Substance Use Disorder | 201 N BELMONT ST APT 108,
GLENDALE, CA, United States |
31-Aug-2021 |
| 1376734087 | 535 W BROADWAY INC | Assisted Living Facility | 535 W BROADWAY,
GLENDALE, CA, United States |
07-Aug-2007 |
| 1235194655 | 59TH AVE DENTISTRY LTD | Dentist | 8519 N 59TH AVE,
GLENDALE, AZ, United States |
19-Apr-2006 |
| 1508089624 | 59TH AVENUE SURGICAL FACILITY, LTD | Clinic/Center, Ambulatory Surgical | 8608 N 59TH AVE,
GLENDALE, AZ, United States |
10-Apr-2007 |
| 1932581766 | 6730 W CAMELBACK ROAD LLC DBA INSTANTMED HEALTH CENTER | Clinic/Center, Urgent Care | 5104 N 67TH AVE,
GLENDALE, AZ, United States |
29-Jun-2015 |
| 1619545415 | 7 DAY HOME CARE INC | Home Health | 415 E HARVARD ST STE 104B,
GLENDALE, CA, United States |
16-Jun-2021 |
| 1568906964 | 710 IMAGING INC | Clinic/Center, Radiology | 710 S CENTRAL AVE,
SUITE 300 GLENDALE, CA, United States |
05-Dec-2016 |
How to check whether NPI 1063496693 is valid?
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FAQs
Whose NPI Number is 1417495904?1417495904 is the NPI number of ELECTRO DIAGNOSTIC MEDICINE.
Where is ELECTRO DIAGNOSTIC MEDICINE located?ELECTRO DIAGNOSTIC MEDICINE is located at 1407 HILLSIDE DR, GLENDALE, CA.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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