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Organization
RADIOGRAPHICA MEDICA MEDICAL GROUP INC
Active
Organization
RADIOGRAPHICA MEDICA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL H. BOATRIGHT M.D. (PRESIDENT)
(323) 724-1911
Entity
Organization
Contact information
Practice address
949 GOODRICH BLVD, LOS ANGELES, CA 90022-4116
(323) 724-1911
(323) 724-1946
Mailing address
949 GOODRICH BLVD, LOS ANGELES, CA 90022-4116
(323) 724-1911
(323) 724-1946
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
WC32260A
CA
Other
Enumeration date
03/04/2009
Last updated
04/14/2009
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