Organization · Type 2 NPI

Beverly Radiology Medical Group III

Diagnostic Radiology Physician · Reseda, CA

NPI number 1093243404 Active

Practice location

8227 Reseda Blvd
Reseda, CA 91335-1247

Fax (818) 701-5936

Mailing address

1516 Cotner Ave
Los Angeles, CA 90025-3303

Other practice locations

  • 8327 Reseda Blvd, Northridge, CA 91324-4620 · (818) 407-2643

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X462482 (CA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1093243404

Beverly Radiology Medical Group III's National Provider Identifier is 1093243404, issued on May 30, 2017. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Reseda, CA. The record was last updated on Apr 1, 2025.