Organization
SAN FERNANDO DIAGNOSTIC AND IMAGING, INC
Active
Organization
SAN FERNANDO DIAGNOSTIC AND IMAGING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L WILSON M.D. (CEO)
(818) 361-5269
Entity
Organization
Contact information
Practice address
211 S MACLAY AVE, SAN FERNANDO, CA 91340-3603
(818) 408-2500
Mailing address
16060 VENTURA BLVD STE 105-338, ENCINO, CA 91436-2761
(818) 361-5269
(818) 837-7291
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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