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General NPI Number Information
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NPI Number | 1477215226
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Entity Type | Organization
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Legal Business Name | CALIFORNIA RADIOLOGY MANAGEMENT INC
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Dates
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Enumeration Date | 10/08/2021
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 1884 BUSINESS CENTER DR
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-3457
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Country | US
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Telephone | 909-890-5552
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Fax | 909-890-5588
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Provider Business Mailing Address
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Address Line | 20011 VENTURA BLVD # 1002
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-2573
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Country | US
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Telephone | 818-708-6163
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Fax | 818-340-5537
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | RAY SALARI
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Credential | M.D
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Telephone | 818-708-6163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging 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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound 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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