Organization · Type 2 NPI
Grand Avenue Imaging
Mammography Clinic/Center · Los Angeles, CA
NPI number
1154520989
Active
Practice location
1400 S Grand Ave Ste 608
Los Angeles, CA 90015-3068
Fax (213) 746-5802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mammography Clinic/Center Primary | 261QR0206X | FAC 48220 (CA) |
Mammography Clinic/Center: Definition to come...
Other mammography clinic/center providers in Los Angeles
About NPI 1154520989
Grand Avenue Imaging's National Provider Identifier is 1154520989, issued on Jul 12, 2007. The primary taxonomy on file is Mammography Clinic/Center (261QR0206X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 21, 2018.