| Dr Lawrence Dale Mcnutt, MD | |
|
18436 Roscoe Blvd, Northridge, CA 91325-4107 | |
| (818) 435-1800 | |
| (818) 435-1490 |
| Full Name | Dr Lawrence Dale Mcnutt |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | 18436 Roscoe Blvd, Northridge, 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 |
|---|---|---|---|
| 1609070846 | NPI | - | NPPES |
| A83196 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085B0100X | Radiology - Body Imaging | A83196 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Antelope Valley Hospital | Lancaster, CA | Hospital |
| Northridge Hospital Medical Center | Northridge, CA | Hospital |
| Valley Presbyterian Hospital | Van nuys, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Renaissance Imaging Medical Associates Inc | 7315841756 | 119 |
| Entity Name | Renaissance Imaging Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487608931 PECOS PAC ID: 7315841756 Enrollment ID: O20031126000257 |
| Entity Name | Golden State Imaging Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144872052 PECOS PAC ID: 1254761315 Enrollment ID: O20200414001788 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lawrence Dale Mcnutt, MD 7521 Edinger Ave Unit 4245, Huntington Beach, CA 92647-0610 Ph: (714) 655-9779 | Dr Lawrence Dale Mcnutt, MD 18436 Roscoe Blvd, Northridge, CA 91325-4107 Ph: (818) 435-1800 |
Dr. Alexander Minh-quan Le, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 18436 Roscoe Blvd, Northridge, CA 91325 Phone: 818-435-1400 | |
Rajesh Anant Bhavsar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 18436 Roscoe Blvd, Northridge, CA 91325 Phone: 818-435-1400 | |
Sean Spencer London, MD Radiology Medicare: Medicare Enrolled Practice Location: 18436 Roscoe Blvd, Northridge, CA 91325 Phone: 818-435-1400 | |
Barry Lowell Wilen, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 17075 Devonshire St Ste 306, Northridge, CA 91325 Phone: 818-831-3227 Fax: 818-831-3447 | |
Christopher Bedford, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 18436 Roscoe Blvd, Northridge, CA 91325 Phone: 818-435-1400 | |
Ryan Franke, Radiology Medicare: Accepting Medicare Assignments Practice Location: 18436 Roscoe Blvd, Northridge, CA 91325 Phone: 818-435-1400 | |
Barry Rothman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-8500 |