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Organization
VERDUGO RADIOLOGY MEDICAL GROUP, INC.
Active
Organization
VERDUGO RADIOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG E MORITZ M.D. (PRESIDENT)
(818) 248-9843
Entity
Organization
Contact information
Practice address
1812 VERDUGO BLVD, GLENDALE, CA 91208-1407
(818) 790-7100
Mailing address
P.O. BOX 1036, MONTROSE, CA 91021-1036
(818) 248-9843
(818) 248-9884
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085R0205X
Radiological Physics Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
YYY49281Y
—
CA
Enumeration date
11/28/2006
Last updated
03/22/2017
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