Organization
EQUILOGIC SYSTEMS, INC.
Active
Other names
Innervisions Medical
Organization subpart
No
Provider details
NPI number
Authorized official
G DAWSON (PRES/CEO)
(818) 761-5015
Entity
Organization
Contact information
Practice address
12155 RIVERSIDE DR, VALLEY VILLAGE, CA 91607-3832
(818) 761-5015
(661) 222-9372
Mailing address
12155 RIVERSIDE DR, VALLEY VILLAGE, CA 91607-3832
(818) 761-5015
(661) 222-9372
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
RHF 71342
CA
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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