Gary Radner, MD | |
4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | |
(323) 783-4011 | |
Not Available |
Full Name | Gary Radner |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 31 Years |
Location | 4733 W Sunset Blvd, Los Angeles, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326119249 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085B0100X | Radiology - Body Imaging | G84592 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital - Los Angeles | Los angeles, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Gary Radner, MD 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 Ph: (323) 783-4011 | Gary Radner, MD 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 Ph: (323) 783-4011 |
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