| Organization Name: | SAN VICENTE RADIOLOGY MEDICAL GROUP, INC |
| NPI Number: | 1013948652 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ZHANNA TROSTENETSKAYA (OFFICE MANAGER) |
| Mailing Address: | 151 N San Vicente Blvd Beverly Hills |
| State: | CA US |
| Postal Code: | 902112323 |
| Phone Number: | 3236537300 |
| Fax Number: | 3236537399 |
| NPI Enumeration Date: | 07/05/2006 |
| NPI Last Update Date: | 06/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0205X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Radiological Physics |
| Taxonomy Definition: | A radiological physicist deals with the diagnostic and therapeutic applications of roentgen rays, gamma rays from sealed sources, ultrasonic radiation and radio-frequency radiation, as well as the equipment associated with their production and use, including radiation safety. |