Organization
CALIFORNIA IMAGING NETWORK MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD GRUSD (PRESIDENT)
(310) 289-8678
Entity
Organization
Contact information
Practice address
8641 WILSHIRE BLVD STE 105, BEVERLY HILLS, CA 90211-2919
(310) 289-8678
Mailing address
PO BOX 5355, BEVERLY HILLS, CA 90209-5355
(310) 289-8678
(310) 289-1161
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
CA
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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