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Athletic Imaging, Inc.
Diagnostic Radiology Physician in Santa Monica, California
NPI 1780172106

Athletic Imaging, Inc. is a Diagnostic Radiology Physician based in Santa Monica, CA and is specialized in Diagnostic Radiology. Athletic Imaging, Inc. practices in Santa Monica, CA. The NPI Number for Athletic Imaging, Inc. is 1780172106 and holds a License No. (California).

The current practice location address for Athletic Imaging, Inc. is 492 E Channel Rd, Santa Monica, CA and can be reached out via phone at 310-740-6544.

Location: 492 E Channel Rd, Santa Monica, CA, 90402-1339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780172106
Provider Name
Athletic Imaging, Inc.
Credential
Provider Entity Type
Organization
Address
492 E Channel Rd, Santa Monica, CA, 90402-1339
Phone Number
310-740-6544
Fax Number
Provider Enumeration Date
05/01/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A112782 01 CA MEDICAL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
492 E Channel Rd
City
Santa Monica
State
California
Zip
90402-1339
Phone Number
310-740-6544
Fax Number
person
Provider Business Mailing Address Details
Address
492 E Channel Rd
City
Santa Monica
State
California
Zip
90402-1339
Phone Number
310-740-6544
Fax Number
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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