Organization
HAWTHORNE RADIOLOGY ASSOCIATES MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIDNEY FRIEDMAN M.D. (PRESIDENT)
(805) 577-2011
Entity
Organization
Contact information
Practice address
1918 W BEVERLY BLVD, MONTEBELLO, CA 90640-3957
(323) 838-6800
Mailing address
PO BOX 190, SIMI VALLEY, CA 93062-0190
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0021910
—
CA
Enumeration date
08/21/2013
Last updated
08/21/2013
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