Organization
LOS ALAMITOS RADIOLOGY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT POLEK MD (CEO/PRESIDENT)
(805) 375-8823
Entity
Organization
Contact information
Practice address
3747 WORSHAM AVE STE 200, LONG BEACH, CA 90808-1734
(562) 596-6736
Mailing address
PO BOX 650, NEWBURY PARK, CA 91319-0650
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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