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Organization

LARCHMONT RADIOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS SARA GONZALEZ (CREDENTIALS)
(213) 483-5953
Entity
Organization

Contact information

Practice address
2010 WILSHIRE BLVD STE 408, LOS ANGELES, CA 90057-3598
(213) 483-5953
(213) 484-2984
Mailing address
2010 WILSHIRE BLVD STE 408, LOS ANGELES, CA 90057-3598
(213) 483-5953
(213) 484-2984

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZZ70891Z
CA
Enumeration date
04/17/2007
Last updated
08/22/2020
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