Organization
CRENSHAW BLVD IMAGING CENTER, INC.
Active
Other names
Los Angeles Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAUN SIMPSON (OWNER)
(323) 420-5578
Entity
Organization
Contact information
Practice address
3756 SANTA ROSALIA DR, STE 528, LOS ANGELES, CA 90008-3606
(323) 420-5578
Mailing address
3756 SANTA ROSALIA DR, STE 528, LOS ANGELES, CA 90008-3606
(323) 420-5578
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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