Organization
PRO-LIFE IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRISELDA M LOUGEDO CRT (CEO)
(661) 713-8720
Entity
Organization
Contact information
Practice address
3411 JOHNSTON AVE, REDONDO BEACH, CA 90278-1522
(661) 713-8720
(855) 940-1565
Mailing address
5450 N PARAMOUNT BLVD, UNIT 133, LONG BEACH, CA 90805
(661) 713-8720
(855) 940-1565
Taxonomy
Speciality
Code
Description
License number
State
261QR0207X
Mobile Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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