# WILLIAM M. KELLY M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WILLIAM M. KELLY M.D., INC.
- **Other names:** Health Scan Imaging
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497069660
- **Legal business name:** WILLIAM M. KELLY M.D., INC.
- **Authorized official:** DR. WILLIAM M. KELLY M.D. (PRESIDENT)
- **Authorized official phone:** (760) 776-8001

## Contact information

- **Practice address:** 425 DIAMOND DR, SUITE 103, LAKE ELSINORE, CA 92530-4495
- **Practice address phone:** (951) 245-2700
- **Practice address fax:** (951) 245-2770
- **Mailing address:** 44489 TOWN CENTER WAY, SUITE D BOX 540, PALM DESERT, CA 92260-2723
- **Mailing address phone:** (760) 776-9777
- **Mailing address fax:** (760) 776-4999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085D0003X | Diagnostic Neuroimaging (Radiology) Physician | A34125 | CA | Yes |

## Other

- **Enumeration date:** 07/30/2010
- **Last updated:** 08/04/2010