Organization
INNOVATIVE DIAGNOSTIC IMAGING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELENA KOGAN (PRESIDENT)
(818) 705-0548
Entity
Organization
Contact information
Practice address
18905 SHERMAN WAY, 2ND FLOOR, RESEDA, CA 91335
(818) 705-0548
(818) 705-0579
Mailing address
18905 SHERMAN WAY, 2ND FLOOR, RESEDA, CA 91335
(818) 705-0548
(818) 705-0579
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
08/02/2006
Last updated
08/22/2020
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