Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jun 23, 2014
License(s)
A161415 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1500 SAN PABLO ST FL 2 | Los Angeles, CA 90033-5313 | 323-442-8541 |
| MAILING | PO BOX 31309 | Los Angeles, CA 90031-0309 | 323-442-8541 |
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