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Organization

MRI CENTER AT ORTHOPEDIC HOSPITAL, L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HOWARD JACOBSON (PRESIDENT)
(213) 745-1800
Entity
Organization

Contact information

Practice address
2300 S FLOWER ST, SUITE 100, LOS ANGELES, CA 90007-2660
(213) 745-1800
(213) 742-1190
Mailing address
2300 S FLOWER ST, SUITE 100, LOS ANGELES, CA 90007-2660
(213) 745-1800
(213) 742-1190

Taxonomy

Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ61758Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
05/02/2006
Last updated
08/22/2020
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