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Eastern Sierra Radiology
Diagnostic Radiology Physician in Avalon, California
NPI 1417065103

Eastern Sierra Radiology is a Diagnostic Radiology Physician based in Arcadia, CA and is specialized in Diagnostic Radiology. Eastern Sierra Radiology practices in Avalon, CA. The NPI Number for Eastern Sierra Radiology is 1417065103 and holds a License No. A22120 (California).

The current practice location address for Eastern Sierra Radiology is 100 Falls Canyon Rd, Avalon, CA and can be reached out via phone at 310-510-0700 and via fax at 626-445-0302.

Location: 100 Falls Canyon Rd, Avalon, CA, 91006-2863
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417065103
Provider Name
Eastern Sierra Radiology
Credential
Provider Entity Type
Organization
Address
100 Falls Canyon Rd, Avalon, CA, 91006-2863
Phone Number
310-510-0700
Fax Number
626-445-0302
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A221201 05 CA
ZZZ04744Z 01 CA BLUE SHIELD
A22120 01 CA BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
100 Falls Canyon Rd
City
Avalon
State
California
Zip
90704-1563
Phone Number
310-510-0700
Fax Number
626-445-0302
person
Provider Business Mailing Address Details
Address
100 Falls Canyon Rd
City
Avalon
State
California
Zip
90704-1563
Phone Number
310-510-0700
Fax Number
626-445-0302
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
A22120 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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