Organization
SOUTHERN CALIFORNIA ADVANCED DIAGNOSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD AGHVAMI (PRESIDENT)
(181) 864-6011
Entity
Organization
Contact information
Practice address
16661 VENTURA BLVD STE 403, ENCINO, CA 91436-1959
(818) 646-0118
(818) 532-6545
Mailing address
16661 VENTURA BLVD STE 403, ENCINO, CA 91436-1959
(818) 646-0118
(818) 532-6545
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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