# VADIM CHUDNOVSKY M D INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275762379
- **Authorized official:** DR. VADIM CHUDNOVSKY M.D. (PRESIDENT)
- **Authorized official phone:** (714) 635-0880

## Contact information

- **Practice address:** 1743 S CLAUDINA WAY, ANAHEIM, CA 92805-6544
- **Practice address phone:** (714) 635-0880
- **Practice address fax:** (714) 635-0890
- **Mailing address:** 1743 S CLAUDINA WAY, ANAHEIM, CA 92805-6544
- **Mailing address phone:** (714) 635-0880
- **Mailing address fax:** (714) 635-0890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |
| 261QR0207X | Mobile Mammography Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/09/2009
- **Last updated:** 01/25/2010