Organization
UNIVERSITY ADVANCE BIOIMAGING ASSOCIATES
Active
Other names
usc advance bioimaging asscciates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD G GRANT M.D. (CHAIRMAN)
(626) 457-5842
Entity
Organization
Contact information
Practice address
1500 SAN PABLO ST, SUITE 350, LOS ANGELES, CA 90033-5313
(323) 442-5940
Mailing address
PO BOX 31399, LOS ANGELES, CA 90031-0399
(626) 457-5842
(626) 457-5843
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
N/A
CA
Other
Enumeration date
05/18/2006
Last updated
08/22/2020
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