Organization
HILL STREET IMAGING MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C. CHU M.D. (MEDICAL DIRECTOR)
(213) 626-7816
Entity
Organization
Contact information
Practice address
824 N. HILL STREET, LOS ANGELES, CA 90012
(213) 626-7816
Mailing address
824 N HILL ST, LOS ANGELES, CA 90012-2321
(626) 821-1411
(626) 821-0406
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A38858
CA
2085U0001X
Diagnostic Ultrasound Physician
A38858
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A388581
—
CA
01
—
A38858
BLUE CROSS OF CALIFORNIA
CA
01
—
ZZZ08907Z
BLUE SHIELD
CA
Enumeration date
09/14/2006
Last updated
06/10/2008
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