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Organization
CENTRELAKE MEDICAL GROUP INC
Active
Organization
CENTRELAKE MEDICAL GROUP INC
Active
Other names
Westwood Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
NISHANT NIROOLA (CENTER OPERATIONS DIRECTOR)
(909) 242-7300
Entity
Organization
Contact information
Practice address
10921 WILSHIRE BLVD, MEZZANINE LEVEL, LOS ANGELES, CA 90024-3906
(310) 208-3100
(310) 208-3101
Mailing address
10921 WILSHIRE BLVD, MEZZANINE LEVEL, LOS ANGELES, CA 90024-3906
(310) 208-3100
(310) 208-3101
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/15/2022
Last updated
05/15/2023
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