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Organization
OAKS DIAGNOSTIC INC
Active
Organization
OAKS DIAGNOSTIC INC
Active
Other names
Advanced Radiologty of Beverly Hills
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD SELWYN GRUSD M.D. (RADIOLOGIST)
(310) 289-8678
Entity
Organization
Contact information
Practice address
8641 WILSHIRE BLVD, SUITE 105, BEVERLY HILLS, CA 90211-2900
(310) 289-8678
(310) 289-1161
Mailing address
8641 WILSHIRE BLVD, SUITE 105, BEVERLY HILLS, CA 90211-2900
(310) 289-8678
(310) 289-1161
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
CA
2085R0202X
Diagnostic Radiology Physician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A327072
MEDICAL
CA
Enumeration date
08/23/2006
Last updated
09/15/2011
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