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Organization
WEST COAST BREAST CENTER-SANTA ANA
Active
Organization
WEST COAST BREAST CENTER-SANTA ANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LASZLO P. KAVEGGIA M.D. (PRESIDENT)
(714) 835-6055
Entity
Organization
Contact information
Practice address
1100-A N. TUSTIN AVENUE, SANTA ANA, CA 92705
(714) 543-9927
(714) 543-5883
Mailing address
1100-A N. TUSTIN AVENUE, SANTA ANA, CA 92705
(714) 543-9927
(714) 543-5883
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190025
FDA FACILITY ID NUMBER
—
01
—
42713
DHS
CA
Enumeration date
04/16/2007
Last updated
08/22/2020
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