Organization · NPI-2
Pro-Care Diagnostic Services INC.
Radiologic Technologist, Sonography · Glendale, CA
NPI number1417012147
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1417012147
- Entity type
- Organization (NPI-2)
- Legal business name
- Pro-Care Diagnostic Services INC.
- Organization subpart
- No
- Enumeration date
- Dec 22, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471S1302X | Radiologic Technologist, Sonography | – | – | Yes |
| 2471V0105X | Radiologic Technologist, Vascular Sonography | – | – |
Practice location
512 E Wilson Ave307
Glendale, CA 91206-4351
Phone 818-638-8580
Mailing address
512 E Wilson Ave307
Glendale, CA 91206-4351
Phone 818-638-8580
Authorized official
Piruza Lisa Balyan
Ceo
8186388580
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.