Organization
SAN GABRIEL VIP, A CALIFORNIA LIMITED PARTNERSHIP
Active
Other names
Valley Imaging Partnership
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD KAISERMAN M.D. (MEDICAL DIRECTOR)
(626) 813-9988
Entity
Organization
Contact information
Practice address
1401 W MERCED AVE, SUITE 102, WEST COVINA, CA 91790-3401
(626) 337-8707
(626) 337-0147
Mailing address
PO BOX 635, WEST COVINA, CA 91793-0635
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0058272
—
CA
Enumeration date
04/30/2007
Last updated
11/06/2012
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