Organization
ANAHEIM RADIOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER S HERWITT M.D. (PRESIDENT)
(310) 339-1514
Entity
Organization
Contact information
Practice address
3105 PASEO DEL CAMPO, PALOS VERDES ESTATES, CA 90274-1034
(310) 339-1514
(310) 375-8176
Mailing address
3105 PASEO DEL CAMPO, PALOS VERDES ESTATES, CA 90274-1034
(310) 375-8170
(310) 375-8176
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G23669
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0009701
—
CA
Enumeration date
06/27/2008
Last updated
10/27/2009
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