Organization
BG DX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAISA AYTAYAN (CEO)
(424) 369-5012
Entity
Organization
Contact information
Practice address
1750 N BEVERLY GLEN BLVD, LOS ANGELES, CA 90077-2710
(310) 562-9066
Mailing address
1750 N BEVERLY GLEN BLVD, LOS ANGELES, CA 90077-2710
(310) 562-9066
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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