# COAST FLURSCOPY IMAGE

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

## Provider details

- **NPI number:** 1629514617
- **Authorized official:** MRS. SYLVIA YOUSSEF (OWNER)
- **Authorized official phone:** (714) 847-3322

## Contact information

- **Practice address:** 8700 WARNER AVE STE 200, FOUNTAIN VALLEY, CA 92708-3212
- **Practice address phone:** (714) 641-1111
- **Mailing address:** 8700 WARNER AVE STE 200, FOUNTAIN VALLEY, CA 92708-3212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | RHF73720 | CA | Yes |

## Other

- **Enumeration date:** 01/13/2017
- **Last updated:** 01/26/2017