Organization
LAMBERT RADIOLOGY MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM S M SHANAHAN M.D. (PRESIDENT)
(562) 698-0811
Entity
Organization
Contact information
Practice address
12401 WASHINGTON BLVD, WHITTIER, CA 90602-1006
(562) 698-0811
Mailing address
11721 WHITTIER BLVD, SUITE 509, WHITTIER, CA 90601-3939
(562) 698-0811
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G41618
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BUSINESS LICENSE
68063
CA
Enumeration date
05/11/2006
Last updated
09/14/2011
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