Organization
DIAGNOSTIC IMAGING AND DYNAMICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP EDWARD SCHOENWETTER M. D. (PRESIDENT)
(310) 832-0258
Entity
Organization
Contact information
Practice address
787 W 9TH ST, SAN PEDRO, CA 90731-3601
(310) 832-0258
(310) 833-9832
Mailing address
787 W 9TH ST, SAN PEDRO, CA 90731-3601
(310) 832-0258
(310) 833-9832
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
A
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114241932
NPI
CA
01
—
1700958667
NPI
CA
Enumeration date
10/31/2011
Last updated
10/31/2011
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