Organization
LOS ALAMITOS RADIOLOGY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT S. POLEK MD (CEO/PRESIDENT)
(805) 375-8804
Entity
Organization
Contact information
Practice address
3406 KILDARE CT, BURBANK, CA 91504-1665
(805) 375-8804
(770) 237-1429
Mailing address
PO BOX 650, NEWBURY PARK, CA 91319-0650
(805) 375-8804
(770) 237-1429
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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