# OAKS DIAGNOSTIC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Radiologty of Beverly Hills
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679689244
- **Authorized official:** DR. RONALD SELWYN GRUSD M.D. (RADIOLOGIST)
- **Authorized official phone:** (310) 289-8678

## Contact information

- **Practice address:** 8641 WILSHIRE BLVD, SUITE 105, BEVERLY HILLS, CA 90211-2900
- **Practice address phone:** (310) 289-8678
- **Practice address fax:** (310) 289-1161
- **Mailing address:** 8641 WILSHIRE BLVD, SUITE 105, BEVERLY HILLS, CA 90211-2900
- **Mailing address phone:** (310) 289-8678
- **Mailing address fax:** (310) 289-1161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | CA | Yes |
| 2085R0202X | Diagnostic Radiology Physician | — | CA | — |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 09/15/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00A327072 | MEDICAL | CA |