# MIKA DIAGNOSTIC SERVICES

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

## Provider details

- **NPI number:** 1548511470
- **Authorized official:** MS. TERESA HANNA (MANAGER)
- **Authorized official phone:** (949) 770-6022

## Contact information

- **Practice address:** 25422 TRABUCO RD, STE 105-623, LAKE FOREST, CA 92630-2791
- **Practice address phone:** (949) 770-6022
- **Practice address fax:** (949) 837-8829
- **Mailing address:** PO BOX 577, LAKE FOREST, CA 92609-0577
- **Mailing address phone:** (949) 770-6022
- **Mailing address fax:** (949) 837-8829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | CA | Yes |

## Other

- **Enumeration date:** 10/02/2012
- **Last updated:** 10/02/2012