is a Vascular & Interventional Radiology in Laguna Hills, California. practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for is 1902858384. The last update date is .
's current location address is 24451 Health Center Drive, Laguna Hills, California. You can contact this provider via phone number 9494523573 and fax number 9493523573. The mailing address for is 24451 Health Center Drive, Laguna Hills, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 24451 Health Center Drive, Laguna Hills, California |
| Phone Number | 9494523573 |
| Fax Number | 9493523573 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1902858384 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 24451 Health Center Drive |
|---|---|
| City | Laguna Hills |
| State | California (CA) |
| Post Code | 9265336890 |
| Phone Number | 9494523573 |
| Fax Number | 9493523573 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular & Interventional Radiology |
|---|---|
| Taxonomy | 2085R0204X |
|
Definition: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0022882 | CA | -- | |
| ZZZ73447Z | CA | -- | |
| ZZZ74694Z | CA | -- | |
| ZZZ14198Z | CA | BLUE SHIELD | |
| ZZZ14199Z | CA | BLUE SHIELD | |
| ZZZ73447Z | CA | BLUE SHIELD | |
| ZZZ14200Z | CA | BLUE SHIELD |
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