Organization
SAPPHIRE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR LUGO-COLON MD (OWNER)
(323) 708-4499
Entity
Organization
Contact information
Practice address
11650 RIVERSIDE DR, STE 6, NORTH HOLLYWOOD, CA 91602-1093
(323) 708-4499
Mailing address
11650 RIVERSIDE DR, STE 6, NORTH HOLLYWOOD, CA 91602-1093
(323) 708-4499
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A107410
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A107410
CA LICENSE
CA
Enumeration date
07/20/2009
Last updated
07/20/2009
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