Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Dec 5, 2007
License(s)
A101673 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 10833 LE CONTE AVE | Los Angeles, CA 90095-3075 | 310-825-4721 |
| MAILING | 5767 W CENTURY BLVD SUITE 200 | Los Angeles, CA 90045-5632 | 310-301-8708 |
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