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Organization
CROWN VALLEY RADIOLOGIST
Active
Organization
CROWN VALLEY RADIOLOGIST
Active
Other names
CROWN VALLEY IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TALAL BEYDOUN MD (MEDICAL DIRECTOR)
(949) 367-1010
Entity
Organization
Contact information
Practice address
27401 LOS ALTOS STE 150, MISSION VIEJO, CA 92691-8013
(949) 367-1010
(949) 367-1011
Mailing address
27401 LOS ALTOS STE 150, MISSION VIEJO, CA 92691
(949) 367-1010
(949) 367-1011
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
A107164
CA
261QR0200X
Radiology Clinic/Center
Primary
A30556
CA
Other
Enumeration date
11/24/2014
Last updated
02/02/2024
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