# SOUTHERN CALIFORNIA MOBILE X-RAY, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alert Mobile Diagnostics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780021857
- **Authorized official:** JASON LIU MD (MEMBER)
- **Authorized official phone:** (702) 308-2453

## Contact information

- **Practice address:** 31945 COAST HWY, LAGUNA BEACH, CA 92651
- **Practice address phone:** (702) 308-2453
- **Mailing address:** 31945 COAST HWY, LAGUNA BEACH, CA 92651-6867
- **Mailing address phone:** (702) 308-2453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | FAC72258 | CA | Yes |

## Other

- **Enumeration date:** 05/30/2013
- **Last updated:** 08/03/2018
