Organization
SAN VICENTE RADIOLOGY MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZHANNA TROSTENETSKAYA (OFFICE MANAGER)
(323) 653-7300
Entity
Organization
Contact information
Practice address
151 N SAN VICENTE BLVD, BEVERLY HILLS, CA 90211-2323
(323) 653-7300
(323) 653-7399
Mailing address
151 N SAN VICENTE BLVD, BEVERLY HILLS, CA 90211-2323
(323) 653-7300
(323) 653-7399
Taxonomy
Speciality
Code
Description
License number
State
2085R0205X
Radiological Physics Physician
Primary
—
—
Other
Enumeration date
07/05/2006
Last updated
06/24/2008
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