Organization
VALLEY IMAGING PARTNERSHIP-WEST COVINA PET LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD KAISERMAN M.D. (MEDICAL DIRECTOR)
(626) 813-9988
Entity
Organization
Contact information
Practice address
1401 W MERCED AVE, SUITE 101, WEST COVINA, CA 91790-3401
(626) 338-8390
(626) 962-4657
Mailing address
PO BOX 635, WEST COVINA, CA 91793-0635
(626) 338-8390
(626) 962-4657
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
FAC64156
CA
Other
Enumeration date
02/28/2007
Last updated
09/22/2016
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