Organization
ADVANCED DIAGNOSTIC & MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEIMUR AZ URUSHADZE PHD (OWNER)
(323) 954-8999
Entity
Organization
Contact information
Practice address
6210 WILSHIRE BLVD STE 205, LOS ANGELES, CA 90048-5124
(310) 770-9528
Mailing address
6210 WILSHIRE BLVD STE 205, LOS ANGELES, CA 90048-5124
(310) 770-9528
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
CA
Other
Enumeration date
01/08/2007
Last updated
09/28/2007
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