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Organization

CENTRELAKE MEDICAL GROUP INC

Active
Other names
Westwood Open MRI
Organization subpart
No

Provider details

NPI number
Authorized official
NISHANT NIROOLA (CENTER OPERATIONS DIRECTOR)
(909) 242-7300
Entity
Organization

Contact information

Practice address
10921 WILSHIRE BLVD, MEZZANINE LEVEL, LOS ANGELES, CA 90024-3906
(310) 208-3100
(310) 208-3101
Mailing address
10921 WILSHIRE BLVD, MEZZANINE LEVEL, LOS ANGELES, CA 90024-3906
(310) 208-3100
(310) 208-3101

Taxonomy

Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary

Other

Enumeration date
11/15/2022
Last updated
05/15/2023
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