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Organization
ALLIANCE INTERVENTIONAL INSTITUTE, INC
Active
Organization
ALLIANCE INTERVENTIONAL INSTITUTE, INC
Active
Other names
Alliance Vascular, LA Embolization Centers, LA Knee Pain Centers, LA Prostate Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LYNN LARSON (COO)
(802) 999-0430
Entity
Organization
Contact information
Practice address
631 W AVENUE Q, STE A, PALMDALE, CA 93551-3892
(661) 575-0705
(661) 575-0711
Mailing address
631 W AVENUE Q STE A, PALMDALE, CA 93551-3892
(661) 480-5956
(661) 480-5976
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
A107977
CA
Other
Enumeration date
07/20/2016
Last updated
09/04/2026
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