Provider Demographics
NPI:1518262906
Name:TUAZON RADIOLOGY SERVICES
Entity Type:Organization
Organization Name:TUAZON RADIOLOGY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RENATO
Authorized Official - Middle Name:APULI
Authorized Official - Last Name:TUAZON
Authorized Official - Suffix:
Authorized Official - Credentials:(R) ARRT
Authorized Official - Phone:818-268-7593
Mailing Address - Street 1:6526 PETERSON AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-3145
Mailing Address - Country:US
Mailing Address - Phone:818-268-7593
Mailing Address - Fax:
Practice Address - Street 1:6526 PETERSON AVE
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-3145
Practice Address - Country:US
Practice Address - Phone:818-268-7593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-17
Last Update Date:2011-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARHF83273261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile