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GLENN P. WEDEEN MD A MEDICAL CORPORATION
NPI 1114063294
Radiology - Diagnostic Radiology in Victorville, CA

Active since January 29, 2007
15248 11TH ST, VICTORVILLE, CA 92395(760) 245-8691 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glenn P. Wedeen Md A Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENN P. WEDEEN MD A MEDICAL CORPORATION (NPI 1114063294) is a healthcare organization registered as a diagnostic radiology in Victorville, California and active in the NPI registry since January 2007. The organization lists Glenn P Wedeen, President, as its authorized official.

NPPES Registry Identity

NPI1114063294
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameGLENN P. WEDEEN MD A MEDICAL CORPORATION
Location Address15248 11TH STVictorville, CA 92395-3704
Mailing AddressPo Box 7630Laguna Niguel, CA 92607-7630 · (949) 643-3345
Phone(760) 245-8691
Organization SubpartNo
Authorized OfficialGlenn P WedeenPresident · (626) 357-8535
Enumeration DateJanuary 29, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114063294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · G75574
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
15248 11TH ST, Victorville, CA 92395
Open in Google Maps ↗

Other Identifiers 1

OtherG75574CA · State License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARMEN CASTILLO SANTOS M.D.
Anesthesiology
15248 11TH ST
VICTORVILLE, CA 92395
San Bernardino County (760) 843-6075
MELVIN WEBB M.D.
Internal Medicine
15248 11TH ST, EMERGENCY DEPARTMENT
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8691
ARCADIA PATHOLOGY MEDICAL GROUP
Pathology (Anatomic Pathology & Clinical Pathology)
15248 11TH ST
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8691
JOHN STROH M.D.
Emergency Medicine
15248 11TH ST, EMERGENCY DEPARTMENT
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8691
DR. LYDIA CRUZ M.D.
Anesthesiology
15248 11TH ST
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8691
REDA M TADROS MD INC
Pathology (Anatomic Pathology & Clinical Pathology)
15248 11TH ST
VICTORVILLE, CA 92395
San Bernardino County (760) 843-6262
STEPHEN E. HILLER, M.D. A MEDICAL CORPORATION
Emergency Medicine
15248 11TH ST
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8691
MARK M. YOUSSEF M.D.
Emergency Medicine
15248 11TH ST, EMERGENCY DEPARTMENT
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8691

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn P. Wedeen MD A Medical Corporation's NPI number?

The NPI number for Glenn P. Wedeen MD A Medical Corporation is 1114063294. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Glenn P. Wedeen MD A Medical Corporation located?

Glenn P. Wedeen MD A Medical Corporation is located at 15248 11th St, Victorville, CA 92395. The listed phone number is (760) 245-8691.

What is Glenn P. Wedeen MD A Medical Corporation's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Glenn P. Wedeen MD A Medical Corporation was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.