Organization
RADNET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASTARAN FATEMI MD (MEDICAL DIRECTOR)
(310) 966-8509
Entity
Organization
Contact information
Practice address
35800 BOB HOPE DR, SUITE 150A, RANCHO MIRAGE, CA 92270-1739
(760) 770-1920
Mailing address
73373 COUNTRY CLUB DR, 2113, PALM DESERT, CA 92260-8624
(805) 236-6623
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A111261
CA
284300000X
Special Hospital
39
OH
Other
Enumeration date
05/04/2008
Last updated
07/16/2012
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