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Organization
ULTRAMED DIAGNOSTIC RADIOLOGY INC
Active
Organization
ULTRAMED DIAGNOSTIC RADIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE SER-MANUKIAN (PRESIDENT/OWNER)
(818) 290-3268
Entity
Organization
Contact information
Practice address
6613 COLUMBUS AVE, VAN NUYS, CA 91405-4517
(818) 290-3268
(818) 290-3274
Mailing address
6613 COLUMBUS AVE, VAN NUYS, CA 91405-4517
(818) 290-3268
(818) 290-3274
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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