Organization
ARIA DIAGNOSTIC IMAGING LLC
Active
Parent organization
PROCREATE 4D LLC
Other names
ARIA DIAGNOSTIC IMAGING
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROCREATE 4D LLC
Authorized official
JOSE FERNANDO FARIAS (CEO)
(626) 316-0829
Entity
Organization
Contact information
Practice address
5161 POMONA BLVD STE 213, LOS ANGELES, CA 90022-1749
(626) 316-0829
Mailing address
5161 POMONA BLVD STE 213, LOS ANGELES, CA 90022-1749
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
CA
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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