Doctor Name: | ROBERT MARK AGULNEK |
NPI Number: | 1780701045 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G24127 |
Business Practice Address: | 4929 Van Nuys Blvd Sherman Oaks, CA - 914031702 |
Business Phone Number: | 8189074530 |
Business Fax Number: | |
Mailing Address: | 15614 Royal Ridge Rd, SHERMAN OAKS |
State: | CA |
Postal Code: | 914034207 |
Phone Number: | 8189909052 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | G24127 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |