# FULL BODY SCANNING OF ORANGE COUNTY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stellar Medical Imaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891982484
- **Authorized official:** DINO BERARDINO (PRESIDENT CEO)
- **Authorized official phone:** (619) 778-3913

## Contact information

- **Practice address:** 3 CORPORATE PLAZA, SUITE 100, NEWPORT BEACH, CA 92660
- **Practice address phone:** (949) 726-6470
- **Practice address fax:** (858) 272-0690
- **Mailing address:** 8677 VIA LA JOLLA DR, \#1252, LA JOLLA, CA 92037
- **Mailing address phone:** (949) 706-6470
- **Mailing address fax:** (858) 272-0698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/27/2007
- **Last updated:** 09/27/2007