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General Promed Center Inc
Diagnostic Radiology Physician in Lake Balboa, California
NPI 1760195325

General Promed Center Inc is a Diagnostic Radiology Physician based in Lake Balboa, CA and is specialized in Diagnostic Radiology. General Promed Center Inc practices in Lake Balboa, CA. The NPI Number for General Promed Center Inc is 1760195325 and holds a License No. (California).

The current practice location address for General Promed Center Inc is 17620 Sherman Way Ste 205, Lake Balboa, CA and can be reached out via phone at 818-600-8847 and via fax at 818-600-8846.

Location: 17620 Sherman Way Ste 205, Lake Balboa, CA, 91406-3527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760195325
Provider Name
General Promed Center Inc
Credential
Provider Entity Type
Organization
Address
17620 Sherman Way Ste 205, Lake Balboa, CA, 91406-3527
Phone Number
818-600-8847
Fax Number
818-600-8846
Provider Enumeration Date
12/28/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0003334987-0001-1 01 LOS ANGELES BUSINESS LICENSE
institution
Provider Business Practice Location Address Details
Address
17620 Sherman Way Ste 205
City
Lake Balboa
State
California
Zip
91406-3527
Phone Number
818-600-8847
Fax Number
818-600-8846
person
Provider Business Mailing Address Details
Address
17620 Sherman Way Ste 205
City
Lake Balboa
State
California
Zip
91406-3527
Phone Number
818-600-8847
Fax Number
818-600-8846
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
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Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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