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Organization
ELITE INTERVENTIONAL RADIOLOGY CONSULTANTS OF CALIFORNIA PC
Active
Organization
ELITE INTERVENTIONAL RADIOLOGY CONSULTANTS OF CALIFORNIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN EVANS (EXECUTIVE ADMINISTRATOR)
(727) 480-2734
Entity
Organization
Contact information
Practice address
26730 CROWN VALLEY PKWY, MISSION VIEJO, CA 92691-6364
(949) 364-2201
Mailing address
12421 SW SHERI AVE, LAKE SUZY, FL 34269-5938
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/14/2025
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