Organization Name: | UCLA RADIOLOGY MEDICAL GROUP |
NPI Number: | 1881670248 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIETER ENZMANN (DEPARTMENT CHAIRMAN) |
Mailing Address: | 10833 Le Conte Ave Los Angeles |
State: | CA US |
Postal Code: | 900953075 |
Phone Number: | 3108254721 |
Fax Number: | |
NPI Enumeration Date: | 12/19/2005 |
NPI Last Update Date: | 06/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |