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Organization
WESTCOM RADIOLOGY MEDICAL GROUP
Active
Organization
WESTCOM RADIOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN A SCHWARTZ MD (PRESIDENT)
(323) 462-2271
Entity
Organization
Contact information
Practice address
6245 DE LONGPRE AVE, LOS ANGELES, CA 90028-8253
(323) 462-2271
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-8950
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0065300
—
CA
01
—
ZZZ52740Z
BLUE SHIELD
CA
Enumeration date
03/28/2006
Last updated
11/16/2009
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