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Organization
TORRANCE RADIOLOGY MEDICAL GROUP
Active
Organization
TORRANCE RADIOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL PARVER M.D. (MEDICAL DIRECTOR)
(310) 517-4675
Entity
Organization
Contact information
Practice address
3330 LOMITA BLVD, TORRANCE, CA 90505-5002
(310) 517-4675
Mailing address
PO BOX 190, SIMI VALLEY, CA 93062-0190
(805) 522-5940
(805) 522-6401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG2905
RAILROAD MEDICARE
—
05
—
GR0061810
—
CA
01
—
ZZZ21937Z
BLUE SHIELD
—
Enumeration date
06/13/2006
Last updated
10/11/2007
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