Organization
SOCAL IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REYMOND GAMZELETOVA (PRESIDENT)
(818) 402-2831
Entity
Organization
Contact information
Practice address
3760 SANTA ROSALIA DR, LOS ANGELES, CA 90008-3611
(888) 814-0206
Mailing address
3760 SANTA ROSALIA DR, LOS ANGELES, CA 90008-3611
(888) 814-0206
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Enumeration date
11/15/2018
Last updated
11/17/2018
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