Organization
RADIANT RADIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REYMOND GAMZELETOVA (VICE PRESIDENT)
(818) 402-2831
Entity
Organization
Contact information
Practice address
725 N SHEPARD ST, ANAHEIM, CA 92806-2836
(818) 402-2831
(818) 347-1066
Mailing address
725 N SHEPARD ST, ANAHEIM, CA 92806-2836
(818) 402-2831
(818) 347-1066
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
4012390
CA
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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