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Organization
CHULA VISTA IMAGING
Active
Organization
CHULA VISTA IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LETICIA GONZALEZ (MANAGER)
(619) 427-1145
Entity
Organization
Contact information
Practice address
374 H ST STE 103, CHULA VISTA, CA 91910-5547
(619) 427-1145
(619) 427-1186
Mailing address
374 H ST STE 103, CHULA VISTA, CA 91910-5547
(619) 427-1145
(619) 427-1186
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
FAC61770
CA
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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