Organization
SAINT GORGE RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DMYTRO MALAKHOV (CEO)
(818) 698-4448
Entity
Organization
Contact information
Practice address
12610 GLENOAKS BLVD STE 10, SYLMAR, CA 91342-4783
(818) 698-4448
(818) 698-4449
Mailing address
12610 GLENOAKS BLVD STE 10, SYLMAR, CA 91342-4783
(818) 698-4448
(818) 698-4449
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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