Organization
PROF.IMAGING GRPOUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VADIM DANIELIAN (MANAGER)
(323) 821-7772
Entity
Organization
Contact information
Practice address
9914 SAN JUAN AVE, SOUTH GATE, CA 90280-6108
(323) 569-6979
(323) 249-4626
Mailing address
3540 WILSHIRE BLVD, LOS ANGELES, CA 90010-2316
(213) 386-2942
(213) 386-2942
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/26/2006
Last updated
08/22/2020
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