Organization
PACIFIC COAST MEDICAL IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REYMOND GAMZELETOVA (MANAGER)
(818) 402-2831
Entity
Organization
Contact information
Practice address
3760 SANTA ROSALIA DR, LOS ANGELES, CA 90008-3611
(818) 402-2831
Mailing address
10717 WILSHIRE BLVD APT 1002, LOS ANGELES, CA 90024-4483
(818) 402-2831
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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