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Organization
SOUTHERN CALIFORNIA VASCULAR ASSOCIATES, INC.
Active
Organization
SOUTHERN CALIFORNIA VASCULAR ASSOCIATES, INC.
Active
Other names
Beyond Basic Imaging Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J. FOLEY M.D. (PRESIDENT)
(714) 532-0793
Entity
Organization
Contact information
Practice address
1310 W STEWART DR STE 406, ORANGE, CA 92868-3855
(714) 532-0793
(714) 516-1932
Mailing address
1310 W STEWART DR STE 406, ORANGE, CA 92868-3855
(714) 532-0793
(714) 780-0053
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2410301
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0093510
—
CA
Enumeration date
07/04/2006
Last updated
06/16/2023
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