Organization
NATIONWIDE DIAGNOSTIC MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAGUED RASSEM FADLY MD (PRESIDENT)
(818) 406-7696
Entity
Organization
Contact information
Practice address
23018 VENTURA BLVD, WOODLAND HILLS, CA 91364-1108
(818) 406-7696
(818) 901-1331
Mailing address
23018 VENTURA BLVD, WOODLAND HILLS, CA 91364-1108
(818) 406-7696
(818) 901-1331
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A64236
CA
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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