Organization
HORNBUCKLE, INC.
Active
Other names
California Community Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SCOTT HORNBUCKLE I (PRESIDENT, CEO)
(310) 558-1530
Entity
Organization
Contact information
Practice address
1009 ABBOT KINNEY BLVD, 2ND FLOOR, VENICE, CA 90291-3372
(310) 558-1530
(310) 526-7775
Mailing address
1009 ABBOT KINNEY BLVD, 2ND FLOOR, VENICE, CA 90291-3372
(310) 558-1530
(310) 526-7775
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G30731
CA
Other
Enumeration date
06/10/2006
Last updated
08/22/2020
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