Organization
SHERMAN OAKS DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MARK AGULNEK M.D. (OFFICER)
(818) 981-7111
Entity
Organization
Contact information
Practice address
4929 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-1702
(818) 907-4530
(818) 907-2873
Mailing address
25020 AVENUE STANFORD, SUITE 50, VALENCIA, CA 91355-3430
(661) 295-0260
(661) 295-8518
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
04/25/2007
Last updated
07/18/2008
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