Organization
ISAAK VAYSBERG
Active
Other names
IMIG SONOMED DIAGNOSTIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAAK VAYSBERG ARDMS, RVT,RDCS (CEO)
(818) 681-6100
Entity
Organization
Contact information
Practice address
18455 BURBANK BLVD, STE.206, TARZANA, CA 91356-2803
(818) 757-0975
(818) 757-0903
Mailing address
18455 BURBANK BLVD, STE.206, TARZANA, CA 91356-2803
(818) 757-0975
(818) 757-0903
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
TG195
CA
Other
Enumeration date
05/16/2006
Last updated
01/19/2012
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