# SOS DOPPLER MOBILE IMAGING

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

## Provider details

- **NPI number:** 1639362312
- **Authorized official:** MR. KIN TAK SO R.V.T. (REGISTER VASCULAR TECHNICIAN)
- **Authorized official phone:** (626) 289-2720

## Contact information

- **Practice address:** 1316 STEVENS AVE, UNIT B, SAN GABRIEL, CA 91776-4477
- **Practice address phone:** (626) 818-7226
- **Mailing address:** 1316 STEVENS AVE, UNIT B, SAN GABRIEL, CA 91776-4477
- **Mailing address phone:** (626) 818-7226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471V0105X | Vascular Sonography Radiologic Technologist | 109278 | CA | Yes |

## Other

- **Enumeration date:** 08/24/2007
- **Last updated:** 08/24/2007