# HUNTINGTON MR CENTER A LIMITED PARTNERSHIP

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

## Provider details

- **NPI number:** 1700839313
- **Authorized official:** LEONARD V. PETRUS MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (626) 397-8661

## Contact information

- **Practice address:** 10 PICO ST, PASADENA, CA 91105-3201
- **Practice address phone:** (626) 397-8661
- **Practice address fax:** (626) 397-5889
- **Mailing address:** 223 N 1ST AVE, SUITE \#201, ARCADIA, CA 91006-7089
- **Mailing address phone:** (626) 821-1411
- **Mailing address fax:** (626) 821-0406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | Yes |
| 2085B0100X | Body Imaging Physician | — | — | Yes |
| 2085N0904X | Nuclear Radiology Physician | — | NULL | — |
| 2085N0904X | Nuclear Radiology Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 10/25/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | EXE70069F | — | CA |
| 01 | — | ZZZ24574Z | BLUE SHIELD | CA |