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Organization
VENTURA IMAGING AND RADIOLOGY CENTER
Active
Organization
VENTURA IMAGING AND RADIOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEDAYAT ED GOLCHEH M.D. (MEDICAL DIRECTOR)
(818) 905-7323
Entity
Organization
Contact information
Practice address
16311 VENTURA BLVD, SUITE # 787, ENCINO, CA 91436-2124
(818) 905-7323
(818) 783-6108
Mailing address
16311 VENTURA BLVD, SUITE # 787, ENCINO, CA 91436-2124
(818) 905-7323
(818) 783-6108
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
A040588
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A040588
MEDICAL LICENSE
CA
Enumeration date
02/13/2007
Last updated
05/16/2012
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