Ba Imaging Group

NPI 1003135674 - Physiological Laboratory - 293D00000X

NPI Details
NPI 1003135674
Enumeration Date 05/21/2010
Last Updated 05/21/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name GUSTAVO GUSTAVO
Position DIRECTOR
Phone (818) 554-9903
Fax (818) 345-8746
Practice Location
14622 VENTURA BLVD
SUITE # 317
SHERMAN OAKS CA, 91403-3600, US
Phone (818) 554-9903
Fax (818) 345-8746
Business Location
14622 VENTURA BLVD
SUITE # 317
SHERMAN OAKS CA, 91403-3600, US
Phone (818) 554-9903
Fax (818) 345-8746
Toxanomy
Taxonomy Code 293D00000X
License State
License Number
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According to our database, Ba Imaging Group NPI is 1003135674, taxonomy code is 293D00000X Ba Imaging Group physically located at 14622 Ventura Blvd, Sherman Oaks CA, 91403-3600. NPI Number 1033115704 has the healthcare provider type.

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1003135674 NPI number is provided on an as is basis without warranty of any kind. 1003135674 is maintained by the National Plan & Provider Enumeration System. The contents of Ba Imaging Group are for informational purposes only.