Individual provider · Type 1 NPI

Reza Fardanesh

Diagnostic Radiology Physician · Los Angeles, CA

NPI number 1972763993 Active

Practice location

757 Westwood Plz
Los Angeles, CA 90095-3725

Call (310) 301-6800 Map

Fax (310) 794-9035

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X286765 (NY)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician Primary 2085R0202XA172279 (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 1972763993

Reza Fardanesh's National Provider Identifier is 1972763993, issued on Jun 12, 2008. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 21, 2021.