Rad S Radulovich in Culver City - General Practice

Rad S Radulovich - NPI 1679643001

Rad S Radulovich is a General Practice in Culver City, California. Rad S Radulovich practices all healthcare services and medical treatments related to General Practice. The NPI Number for Rad S Radulovich is 1679643001. The last update date is 2007-07-08.

Rad S Radulovich's current location address is 10920 Venice Blvd, Culver City, California. You can contact this provider via phone number 3102046661 and fax number 3102046662. The mailing address for Rad S Radulovich is 10920 Venice Blvd, Culver City, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Rad S Radulovich
Address 10920 Venice Blvd, Culver City, California
Phone Number 3102046661
Fax Number 3102046662
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1679643001
Provider Enumeration Date 2006-11-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 10920 Venice Blvd
City Culver City
State California (CA)
Post Code 902323809
Phone Number 3102046661
Fax Number 3102046662

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 44531
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
B44531-01 CA --

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FAQs about Rad S Radulovich

What is the unique provider identifier assigned to Rad S Radulovich?

The Rad S Radulovich has been issued the NPI (National Provider Identifier) 1679643001 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Rad S Radulovich is physically located?

The Rad S Radulovich is situated at the following address: 10920 Venice Blvd, Culver City, CA 902323809.

What is the Rad S Radulovich's specialty and taxonomy code?

The Rad S Radulovich's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did Rad S Radulovich receive its 1679643001 assignment from the Centers for Medicare & Medicaid Services?

The Rad S Radulovich was assigned its 1679643001 on 2006-11-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Rad S Radulovich, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Rad S Radulovich, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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