# ADVANCED MEDICAL XRAY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MOBILE DIGITAL XRAY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336383942
- **Authorized official:** MR. FAUSTO MENDEZ JR. (PRESIDENT)
- **Authorized official phone:** (626) 303-8674

## Contact information

- **Practice address:** 1330 ARROW HWY, LA VERNE, CA 91750-5218
- **Practice address phone:** (626) 303-8674
- **Practice address fax:** (909) 392-3824
- **Mailing address:** PO BOX 7938, LA VERNE, CA 91750-7938
- **Mailing address phone:** (626) 303-8674
- **Mailing address fax:** (626) 256-9098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | CA | Yes |

## Other

- **Enumeration date:** 04/27/2009
- **Last updated:** 10/31/2014