Organization
RADIOLOGY PARTNERS MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI M CASSIN (AVP, PROVIDER ENROLLMENT)
(312) 724-8477
Entity
Organization
Contact information
Practice address
2330 UTAH AVE STE 200, EL SEGUNDO, CA 90245-4817
(312) 724-8477
Mailing address
PO BOX 686, WAUSAU, WI 54402-0686
(404) 480-2491
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
08/19/2021
Last updated
09/21/2022
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