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Organization
PACIFIC MEDICAL IMAGING AND ONCOLOGY CENTER, INC
Active
Organization
PACIFIC MEDICAL IMAGING AND ONCOLOGY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD CHAO MD (PRESIDENT)
(626) 227-2727
Entity
Organization
Contact information
Practice address
707 S GARFIELD AVE, SUITE B-001, ALHAMBRA, CA 91801-5859
(626) 227-2727
(626) 227-2799
Mailing address
PO BOX 65, SIMI VALLEY, CA 93062-0065
(805) 577-8730
(805) 991-4065
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
C2578418
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0101900
—
CA
Enumeration date
08/25/2006
Last updated
12/12/2012
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