Organization
ANTELOPE VALLEY OUTPATIENT IMAGING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD MIRZABEGIAN (MANAGER)
(661) 949-5533
Entity
Organization
Contact information
Practice address
44105 15TH ST W STE 100, LANCASTER, CA 93534-4090
(661) 726-6050
(661) 951-4464
Mailing address
PO BOX 190, SIMI VALLEY, CA 93062-0190
(855) 504-4544
(805) 577-2018
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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