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Organization
TOWER IMAGING MEDICAL ASSOCIATES, INC.
Active
Organization
TOWER IMAGING MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD M ROTH M.D. (PRESIDENT/CEO/DIRECTOR)
(323) 549-3030
Entity
Organization
Contact information
Practice address
5455 WILSHIRE BLVD, SUITE 1120, LOS ANGELES, CA 90036-4201
(323) 549-3030
(323) 549-3049
Mailing address
PO BOX 2365, INDIANAPOLIS, IN 46206-2365
(323) 549-3030
(323) 549-3049
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
CA
2085R0204X
Vascular & Interventional Radiology Physician
—
CA
Other
Enumeration date
02/25/2011
Last updated
07/19/2012
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