Organization
I V RADIOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHROUZ TAHVILIAN MD (MANAHING PARTNER/AUTHORIZED OFFICIA)
(805) 375-8823
Entity
Organization
Contact information
Practice address
1177 ELMSFORD CT, CUPERTINO, CA 95014-4907
(760) 351-3751
(760) 344-5325
Mailing address
PO BOX 9, NEWBURY PARK, CA 91319-0009
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
03/24/2021
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