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General NPI Number Information
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NPI Number | 1366525487
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Entity Type | Organization
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Legal Business Name | LOS ANGELES RADIOLOGY MEDICAL ASSOCIATES, INC.
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 1509 WILSON TERRACE
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City | GLENDALE
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State | CA
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Zip | 91206-4007
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Country | US
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Telephone | 818-409-8000
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Fax | 414-607-3946
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Provider Business Mailing Address
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Address Line | PO BOX 509015 DEPT 296
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City | SAN DIEGO
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State | CA
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Zip | 92150-9015
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Country | US
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Telephone | 614-210-1885
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Fax | 614-210-1886
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Authorized Official
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Title or Position | OWNER
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Name | LINH L. CHEN
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Credential | MD
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Telephone | 818-434-8489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number |
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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