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Organization
WESTERN IMAGING MARINA DEL REY INC
Active
Organization
WESTERN IMAGING MARINA DEL REY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROB PETZOLD (DIRECTOR OF OPERATIONS)
(310) 736-4395
Entity
Organization
Contact information
Practice address
4640 ADMIRALTY WAY, SUITE 102, MARINA DEL REY, CA 90292-6621
(310) 736-4395
Mailing address
4640 ADMIRALTY WAY, SUITE 102, MARINA DEL REY, CA 90292-6621
(310) 736-4395
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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