Organization
ST FRANCIS RADIOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT K SZETO MD (PARTNER IN ST FRANCIS RADIOLOGY MED)
(310) 900-8852
Entity
Organization
Contact information
Practice address
3630 EAST IMPERIAL HWY, LYNWOOD, CA 90262
(310) 900-8852
Mailing address
PO BOX 4505, WOODLAND HILLS, CA 91365-4505
(805) 375-8800
(805) 375-8900
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0017660
—
CA
01
—
HSC30104F
MEDI CAL IP FACILITY ID
CA
01
—
ZZZ90555Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
01/08/2007
Last updated
08/22/2020
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