Organization
WESTSIDE TECHNICAL COPR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEVON YEGHIAZARYAN (OWNER/CEO)
(323) 463-6319
Entity
Organization
Contact information
Practice address
5300 SANTA MONICA BLVD, 411, LOS ANGELES, CA 90029-1131
(323) 463-6319
(323) 463-6321
Mailing address
5300 SANTA MONICA BLVD, 411, LOS ANGELES, CA 90029-1131
(323) 463-6319
(323) 463-6321
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
80656
CA
Other
Enumeration date
10/19/2006
Last updated
08/22/2020
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