Individual
SCOTT J. GENSHAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
757 WESTWOOD PLZ STE 1633, LOS ANGELES, CA 90095-3075
(310) 301-6800
(310) 794-9035
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A103680
CA
2085R0204X
Vascular & Interventional Radiology Physician
A103680
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1036800
—
CA
Enumeration date
10/16/2008
Last updated
12/12/2019
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