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Organization
ALLIANCE HEALTHCARE SERVICES INC.
Active
Organization
ALLIANCE HEALTHCARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD POAN (EXEC VP & CFO)
(800) 544-3215
Entity
Organization
Contact information
Practice address
250 S GRAND AVE, GLENDORA, CA 91741-4218
(626) 963-8411
Mailing address
100 BAYVIEW CIR, SUITE 400, NEWPORT BEACH, CA 92660-2983
(800) 544-3215
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
6640-30
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470000284
RAILROAD MEDICARE
CA
01
—
470001394
RAILROAD MEDICARE
CA
05
—
IDTF00740
—
CA
Enumeration date
04/24/2007
Last updated
10/04/2014
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