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Organization
PACIFIC SHORES RADIOLOGY MEDICAL GROUP INC.
Active
Organization
PACIFIC SHORES RADIOLOGY MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL POH M.D. (PRESIDENT)
(310) 792-3914
Entity
Organization
Contact information
Practice address
1025 S ANAHEIM BLVD, ANAHEIM, CA 92805-5806
(714) 563-2813
(714) 502-2691
Mailing address
PO BOX 3129, TORRANCE, CA 90510-3129
(310) 792-3914
(855) 898-4055
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G60583
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326104605
—
CA
Enumeration date
12/29/2006
Last updated
11/01/2016
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