Organization
PRIVILEGE IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARINE AYVAZOVA (CEO)
13107747747
Entity
Organization
Contact information
Practice address
240 N VIRGIL AVE, SUITE 21, LOS ANGELES, CA 90004-3650
(131) 077-4774
Mailing address
240 N VIRGIL AVE, SUITE 21, LOS ANGELES, CA 90004-3650
(131) 077-4774
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
RCP00003456
CA
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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