Organization
LIBERTY PACIFIC MEDICAL IMAGING ENCINO, LLC
Active
Other names
Liberty Pacific MRI of Encino
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE (NONE) KAVON (V.P. MARKETING & CONTRACTING)
(530) 367-5295
Entity
Organization
Contact information
Practice address
16130 VENTURA BLVD, #100, ENCINO, CA 91436-2503
(818) 933-2020
(818) 933-2021
Mailing address
PO BOX 1279, FORESTHILL, CA 95631-1279
(530) 367-5295
(530) 367-4634
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/04/2006
Last updated
08/13/2008
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