Individual
ANGELA KAZAROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRT
Contact information
Practice address
2410 E CHEVY CHASE DR, GLENDALE, CA 91206-1812
(818) 240-4020
(323) 255-5225
Mailing address
2410 E CHEVY CHASE DR, GLENDALE, CA 91206-1812
(818) 240-4020
(323) 255-5225
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
RHM71836
CA
2471C3401X
Computed Tomography Radiologic Technologist
RHM #71836
CA
2471M2300X
Mammography Radiologic Technologist
RHM71836
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N/A
INTRAVENOUS THERAPY AND P
CA
01
—
RHM# 71836
MAMMOGRAM TECH., FLUOROS
CA
01
—
RHM71836
LICENSE #RHM71836
CA
Enumeration date
07/11/2007
Last updated
07/11/2007
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