Individual provider · NPI-1
Angela Kazarova, CRT
Radiologic Technologist · Glendale, CA
NPI number1992904916
StatusActive
Last updated in NPPESJul 11, 2007
Details
- NPI
- 1992904916
- Entity type
- Individual (NPI-1)
- Name
- Angela Kazarova
- Credential
- CRT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2007
- Last updated
- Jul 11, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247100000X | Radiologic Technologist | RHM71836 | CA | Yes |
| 2471C3401X | Radiologic Technologist, Computed Tomography | RHM #71836 | CA | |
| 2471M2300X | Radiologic Technologist, Mammography | RHM71836 | CA |
Practice location
2410 E Chevy Chase DrGlendale, CA 91206-1812
Phone 818-240-4020 · Fax 323-255-5225
Mailing address
2410 E Chevy Chase DrGlendale, CA 91206-1812
Phone 818-240-4020 · Fax 323-255-5225
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