# SD XRAY LLC

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

## Provider details

- **NPI number:** 1679134118
- **Authorized official:** BEAU CHUNG (MEDICAL DIRECTOR)
- **Authorized official phone:** (949) 274-8807

## Contact information

- **Practice address:** 3220 S BREA CANYON RD STE B, DIAMOND BAR, CA 91765-3481
- **Practice address phone:** (619) 562-6100
- **Mailing address:** 3220 S BREA CANYON RD STE B, DIAMOND BAR, CA 91765-3481
- **Mailing address phone:** (619) 562-6100

## Taxonomy

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

## Other

- **Enumeration date:** 06/25/2019
- **Last updated:** 06/25/2019