Provider Demographics
NPI:1801191796
Name:USTELERADIOLOGY LOS ANGELES
Entity Type:Organization
Organization Name:USTELERADIOLOGY LOS ANGELES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:FERRARO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-904-2590
Mailing Address - Street 1:6222 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 450
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5123
Mailing Address - Country:US
Mailing Address - Phone:323-931-3400
Mailing Address - Fax:
Practice Address - Street 1:6222 WILSHIRE BLVD
Practice Address - Street 2:SUITE 450
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5123
Practice Address - Country:US
Practice Address - Phone:323-931-3400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-24
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology