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Organization
SD XRAY LLC
Active
Organization
SD XRAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEAU CHUNG (MEDICAL DIRECTOR)
(949) 274-8807
Entity
Organization
Contact information
Practice address
3220 S BREA CANYON RD STE B, DIAMOND BAR, CA 91765-3481
(619) 562-6100
Mailing address
3220 S BREA CANYON RD STE B, DIAMOND BAR, CA 91765-3481
(619) 562-6100
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
NULL
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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