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Western Diagnostic & Therapeutic Radiology Medical Group, Inc.
Diagnostic Radiology Physician in Marina Del Rey, California
NPI 1700979390

Western Diagnostic & Therapeutic Radiology Medical Group, Inc. is a Diagnostic Radiology Physician based in Marina Del Rey, CA and is specialized in Diagnostic Radiology. Western Diagnostic & Therapeutic Radiology Medical Group, Inc. practices in Marina Del Rey, CA. The NPI Number for Western Diagnostic & Therapeutic Radiology Medical Group, Inc. is 1700979390 and holds a License No. (California).

The current practice location address for Western Diagnostic & Therapeutic Radiology Medical Group, Inc. is 4640 Admiralty Way, Marina Del Rey, CA and can be reached out via phone at 310-836-1574 and via fax at 310-836-6925.

Location: 4640 Admiralty Way, Marina Del Rey, CA, 90292-6621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700979390
Provider Name
Western Diagnostic & Therapeutic Radiology Medical Group, Inc.
Credential
Provider Entity Type
Organization
Address
4640 Admiralty Way, Marina Del Rey, CA, 90292-6621
Phone Number
310-836-1574
Fax Number
310-836-6925
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
GR0017071 05 CA
GR0017076 05 CA
GR0017072 05 CA
institution
Provider Business Practice Location Address Details
Address
4640 Admiralty Way
City
Marina Del Rey
State
California
Zip
90292-6621
Phone Number
310-836-1574
Fax Number
310-836-6925
person
Provider Business Mailing Address Details
Address
4640 Admiralty Way
City
Marina Del Rey
State
California
Zip
90292-6621
Phone Number
310-836-1574
Fax Number
310-836-6925
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
(California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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