Glenn P. Wedeen Md A Medical Corporation in Laguna Niguel - Diagnostic Radiology
Glenn P. Wedeen Md A Medical Corporation - NPI 1114063294
Glenn P. Wedeen Md A Medical Corporation is a Diagnostic Radiology in Laguna Niguel, California. Glenn P. Wedeen Md A Medical Corporation practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Glenn P. Wedeen Md A Medical Corporation is 1114063294. The last update date is 2020-08-22.
Glenn P. Wedeen Md A Medical Corporation's current location address is Po Box 7630, Laguna Niguel, California. You can contact this provider via phone number 9496433345. The mailing address for Glenn P. Wedeen Md A Medical Corporation is Po Box 7630, Laguna Niguel, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Glenn P. Wedeen Md A Medical Corporation |
|---|---|
| Address | Po Box 7630, Laguna Niguel, California |
| Phone Number | 9496433345 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wedeen P Glenn |
| Credentials | M.D. |
| Telephone Number | 6263578535 |
NPI Number Detail
| NPI Number | 1114063294 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 7630 |
|---|---|
| City | Laguna Niguel |
| State | California (CA) |
| Post Code | 926077630 |
| Phone Number | 9496433345 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | G75574 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G75574 | CA | STATE LICENSE |
Post Comment/ Review Below
What is the Glenn P. Wedeen Md A Medical Corporation's unique identification number?
The Glenn P. Wedeen Md A Medical Corporation has been assigned the NPI (National Provider Identifier) Number 1114063294 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Glenn P. Wedeen Md A Medical Corporation is physically located?
The Glenn P. Wedeen Md A Medical Corporation is situated at the following address: Po Box 7630, Laguna Niguel, CA 926077630.
What is Glenn P. Wedeen Md A Medical Corporation's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Glenn P. Wedeen Md A Medical Corporation is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.
On what date did Glenn P. Wedeen Md A Medical Corporation receive its 1114063294 assignment from the Centers for Medicare & Medicaid Services?
The Glenn P. Wedeen Md A Medical Corporation was assigned its 1114063294 on 2007-01-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Glenn P. Wedeen Md A Medical Corporation's information last updated?
The Glenn P. Wedeen Md A Medical Corporation's information was last updated on 2020-08-22.
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