Organization
PREMIER DIAGNOSTIC & INTERVENTIONAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAVID EGHBALIEH MD (MANAGING PARTNER)
(310) 650-4500
Entity
Organization
Contact information
Practice address
5805 SEPULVEDA BLVD STE 690, SHERMAN OAKS, CA 91411-2522
(818) 900-6480
Mailing address
5805 SEPULVEDA BLVD STE 690, SHERMAN OAKS, CA 91411-2522
(818) 900-6488
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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