Organization
BA IMAGING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUSTAVO MARTINELLI (DIRECTOR)
(818) 554-9903
Entity
Organization
Contact information
Practice address
14622 VENTURA BLVD, SUITE # 317, SHERMAN OAKS, CA 91403-3600
(818) 554-9903
(818) 345-8746
Mailing address
14622 VENTURA BLVD, SUITE # 317, SHERMAN OAKS, CA 91403-3600
(818) 554-9903
(818) 345-8746
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
CA
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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