Organization
ELECTRONIC ORTHOPEDIC IMAGING MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERROLD MINK M.D. (MANAGING MEMBER)
(310) 208-3100
Entity
Organization
Contact information
Practice address
10921 WILSHIRE BLVD, 2ND FLOOR, LOS ANGELES, CA 90024-3906
(310) 208-3100
Mailing address
PO BOX 190, SIMI VALLEY, CA 93062-0190
(805) 522-5940
(805) 522-6401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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