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Organization
USC IMAGING ASSOCIATES INC
Active
Organization
USC IMAGING ASSOCIATES INC
Active
Other names
LAC USC Imaging Sciences Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD GRANT M.D. (PRESIDENT)
(323) 221-2744
Entity
Organization
Contact information
Practice address
1744 ZONAL AVE, LOS ANGELES, CA 90033-5318
(323) 221-2744
(323) 221-1934
Mailing address
FILE 57174, LOS ANGELES, CA 90074-0001
(323) 221-2744
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0055340
—
CA
Enumeration date
05/20/2006
Last updated
10/15/2007
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