Organization
BROADWAY RADIOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALVARO CERDA (CHIEF EXECUTIVE OFFICER)
(323) 231-5044
Entity
Organization
Contact information
Practice address
231 W VERNON AVE STE 111, LOS ANGELES, CA 90037-2778
(323) 231-5044
(323) 231-5362
Mailing address
231 W VERNON AVE STE 111, LOS ANGELES, CA 90037-2778
(323) 231-5044
(323) 231-5362
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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