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Organization

I V RADIOLOGY MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAHROUZ TAHVILIAN MD (MANAGING PARTNER, AUTHORIZED OFFICI)
(805) 375-8823
Entity
Organization

Contact information

Practice address
6729 MONTE RD, SAN LUIS OBISPO, CA 93401-8050
(858) 546-3800
Mailing address
PO BOX 9, NEWBURY PARK, CA 91319-0009
(800) 996-0950
(805) 375-8903

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
01/08/2021
Last updated
03/24/2021
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