Organization
CALIFORNIA HOSPITAL RADIOLOGY MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDNEY G FRIEDMAN M.D. (DIRECTOR)
(626) 397-4910
Entity
Organization
Contact information
Practice address
1401 S GRAND AVE, LOS ANGELES, CA 90015-3010
(213) 742-5840
Mailing address
540 S MARENGO AVE, PASADENA, CA 91101-3130
(626) 397-4910
(626) 397-4911
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CAHO10
UNIVERSALCARE GROUP #
CA
05
—
GR0091860
—
CA
01
—
ZZZ05188Z
BLUE SHIELD GROUP NUMBER
CA
Enumeration date
06/23/2005
Last updated
06/16/2010
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