# SOCAL MEDICAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477844470
- **Authorized official:** LIDO CHEN M.D. (CEO)
- **Authorized official phone:** (714) 321-8854

## Contact information

- **Practice address:** 12850 CRAWFORD DR, TUSTIN, CA 92782-1059
- **Practice address phone:** (714) 321-8854
- **Mailing address:** 12850 CRAWFORD DR, TUSTIN, CA 92782-1059
- **Mailing address phone:** (714) 321-8854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | FAC69883 | CA | Yes |

## Other

- **Enumeration date:** 04/25/2011
- **Last updated:** 04/25/2011