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Organization

ENDOVASCULAR ASSOCIATES MEDICAL GROUP, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILBERT ERADAT M.D. (TREASURER)
(310) 000-0000
Entity
Organization

Contact information

Practice address
10866 WILSHIRE BLVD, SUITE 400-278, LOS ANGELES, CA 90024-4300
(310) 000-0000
Mailing address
10866 WILSHIRE BLVD, SUITE 400-278, LOS ANGELES, CA 90024-4300

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
FNP545028
CA

Other

Enumeration date
03/12/2015
Last updated
03/04/2016
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