Organization · Type 2 NPI
Coastal Image Group
Diagnostic Ultrasound Physician · Irvine, CA
NPI number
1073759601
Active
Practice location
62 Corporate Park Ste 120
Irvine, CA 92606-3142
Fax (949) 748-8868
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A86825 (CA) |
| Diagnostic Ultrasound Physician Primary | 2085U0001X | A86825 (CA) |
Diagnostic Ultrasound Physician: A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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About NPI 1073759601
Coastal Image Group's National Provider Identifier is 1073759601, issued on Jan 3, 2009. The primary taxonomy on file is Diagnostic Ultrasound Physician (2085U0001X), and the practice location is in Irvine, CA. The record was last updated on Jan 3, 2009.