Organization
AEGIS PEDIATRIC IMAGING MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN NELSON M.D. (MANAGING PARTNER)
(626) 391-2014
Entity
Organization
Contact information
Practice address
116 W LIME AVE, MONROVIA, CA 91016-2841
(626) 391-2014
(626) 915-1209
Mailing address
PO BOX 190, SIMI VALLEY, CA 93062-0190
(805) 522-5940
(805) 522-6401
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
—
—
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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