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Organization
VADIM CHUDNOVSKY MD
Active
Organization
VADIM CHUDNOVSKY MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VADIM CHUDNOVSKY M.D. (SOLE PROPRIETOR)
(714) 633-0011
Entity
Organization
Contact information
Practice address
2601 E CHAPMAN AVE, ORANGE, CA 92869-3206
(714) 633-0011
(714) 759-1780
Mailing address
PO BOX 11918, SANTA ANA, CA 92711-1918
(714) 633-0011
(714) 759-1780
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
02/21/2008
Last updated
07/29/2009
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