Organization · Type 2 NPI
Help the Doctor
Mobile Radiology Clinic/Center · Costa Mesa, CA
NPI number
1104211549
Active
Practice location
1824 Viola Place, Suite B
Costa Mesa, CA 92627
Fax (949) 642-1793
Mailing address
1824 Viola Pl, Suite B
Costa Mesa, CA 92627-2725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mobile Radiology Clinic/Center Primary | 261QR0208X | RHF67598 (CA) |
Mobile Radiology Clinic/Center: Definition to come...
About NPI 1104211549
Help the Doctor's National Provider Identifier is 1104211549, issued on Apr 2, 2015. The primary taxonomy on file is Mobile Radiology Clinic/Center (261QR0208X), and the practice location is in Costa Mesa, CA. The record was last updated on Apr 2, 2015.