Organization
DEAUVILLE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVIN FAIGUS M.D. (PRESIDENT)
(310) 358-9000
Entity
Organization
Contact information
Practice address
292 S LA CIENEGA BLVD STE 202, BEVERLY HILLS, CA 90211-3393
(213) 304-3512
(323) 525-0490
Mailing address
7190 W SUNSET BLVD, #243, LOS ANGELES, CA 90046-4415
(323) 655-6250
(323) 655-1619
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G11324
CA
Other
Enumeration date
10/19/2005
Last updated
06/10/2019
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