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Organization
WILLIAM M. KELLY M.D., INC.
Active
Organization
WILLIAM M. KELLY M.D., INC.
Active
Parent organization
WILLIAM M. KELLY M.D., INC.
Other names
Health Scan Imaging, Truly Open MRI, and Open MRI of Loma Linda
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLIAM M. KELLY M.D., INC.
Authorized official
TANIA CHANG (CREDENTIALING/CONTRAC ADMINISTRATOR)
(760) 776-8001
Entity
Organization
Contact information
Practice address
72980 FRED WARING DR, SUITE A, PALM DESERT, CA 92260-2898
(760) 776-8001
(760) 836-3934
Mailing address
44489 TOWN CENTER WAY, SUITE D BOX 540, PALM DESERT, CA 92260-2789
(760) 776-8001
(760) 836-3934
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A34125
CA
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A341250
—
CA
Enumeration date
08/11/2009
Last updated
10/18/2013
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