Organization
OAKS DIAGNOSTIC INC
Active
Other names
Advanced Radiologty of Beverly Hills
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD SELWYN GRUSD M.D. (RADIOLOGIST)
(310) 289-8678
Entity
Organization
Contact information
Practice address
8641 WILSHIRE BLVD, SUITE 105, BEVERLY HILLS, CA 90211-2900
(310) 289-8678
(310) 289-1161
Mailing address
8641 WILSHIRE BLVD, SUITE 105, BEVERLY HILLS, CA 90211-2900
(310) 289-8678
(310) 289-1161
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
CA
2085R0202X
Diagnostic Radiology Physician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A327072
MEDICAL
CA
Enumeration date
08/23/2006
Last updated
09/15/2011
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