Organization
RADIOLOGY MEDICAL GROUP OF WMMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTOINE G NAHAS (BUSINESS MANAGER)
(626) 795-1610
Entity
Organization
Contact information
Practice address
1720 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-2414
(626) 795-1610
(626) 795-0751
Mailing address
1720 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-2414
(626) 795-1610
(626) 795-0751
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
07/10/2006
Last updated
11/16/2007
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