MEDICARE: DR. VINSON LOUIS UYTANA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	A75941	CA
2	2085N0700X	Neuroradiology Physician	A75941	CA
3	2085R0202X	Diagnostic Radiology Physician	042-0011719	VT

General Provider Information

NPI Number	:	1275515611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VINSON LOUIS UYTANA M.D.

Provider Business Mailing Address
First Line	:	11995 SINGLETREE LN
Second Line	:	SUITE 500
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-5347
Country	:	US
Telephone Number	:	952-595-1301
Fax Number	:	612-294-4903

Provider Business Practice Location Address
First Line	:	5422 HOMESIDE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90016-3712
Country	:	US
Telephone Number	:	952-595-1100
Fax Number	:	612-294-4903

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	06/09/2015

Similar Medicare Providers

1548658859 — LISA WATSON
Practice Location Address:

5426 HOMESIDE AVE
LOS ANGELES, CA
90016-3712

Practice Phone: 323-839-7453
Practice Fax:

1306820220 — DR. SEYED FARHAD N CHIMEH M.D.
Practice Location Address:

3392 MOTOR AVE
LOS ANGELES, CA
90034-3712

Practice Phone: 310-858-1800
Practice Fax: 310-424-3404

1174582613 — IV SOLUTIONS INC.
Practice Location Address:

3384 MOTOR AVE
LOS ANGELES, CA
90034-3712

Practice Phone: 310-838-8388
Practice Fax: 310-838-3899

1174568075 — GARFIELD BEACH CVS LLC
Practice Location Address:

5822 S VERMONT AVE
LOS ANGELES, CA
90044-3712

Practice Phone: 323-750-5222
Practice Fax:

1881616761 — EAST LA PAZ MEDICAL CLINIC
Practice Location Address:

3712 WHITTIER BLVD
LOS ANGELES, CA
90023-1733

Practice Phone: 323-268-8347
Practice Fax: 323-268-8368

1043227804 — MR. WILLIAM CHU PA-C
Practice Location Address:

3712 WHITTIER BLVD
LOS ANGELES, CA
90023-1733

Practice Phone: 323-268-8347
Practice Fax: 323-268-8368

Directions to “ DR. VINSON LOUIS UYTANA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.