Organization
WEST VALLEY MRI INC
Active
Other names
WEST VALLEY MRI INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIMON GAMZELETOVA (PRESIDENT)
(818) 712-0021
Entity
Organization
Contact information
Practice address
20251 VENTURA BLVD, D, WOODLAND HILLS, CA 91364-2563
(818) 712-0021
(818) 712-0015
Mailing address
20251 VENTURA BLVD, D, WOODLAND HILLS, CA 91364-2563
(818) 712-0021
(818) 712-0015
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
CA
Other
Enumeration date
01/16/2014
Last updated
10/09/2015
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