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Eastern Sierra Radiology

Eastern Sierra Radiology is a health care provider in Arcadia, CA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 100 Falls Canyon Rd, Avalon, CA 90704-1563, US
Practice Location Phone310-510-0700
Practice Location Fax626-445-0302
Legal Business NameEASTERN SIERRA RADIOLOGY
NPI ?1417065103
Entity TypeOrganization
Enumeration Date ? Aug 25, 2006
Last Update Date ? Sep 17, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Eastern Sierra Radiology

SpecialtySpecializationLicenseLicense State
RadiologyDiagnostic Radiology A22120California

legacy-id-icon Legacy Provider IDs of Eastern Sierra Radiology

Provider IdIssuer StateIssuer TypeIssuer
00A221201CaliforniaMedicaid
ZZZ04744ZCaliforniaOtherBLUE SHIELD
A22120CaliforniaOtherBLUE CROSS

official-icon Authorized Official of Eastern Sierra Radiology

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Eastern Sierra Radiology's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official John Willard Nesson (M.D.)
Authorized Official Title/PositionPRESIDENT
Authorized Official Phone Number626-445-0004