Organization
WOMEN'S DIAGNOSTIC IMAGING MED. CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UNA L MORRIS M.D. (CFO)
(626) 405-8070
Entity
Organization
Contact information
Practice address
333 S FAIR OAKS AVE, PASADENA, CA 91105-2541
(626) 405-8070
(626) 405-8804
Mailing address
333 S FAIR OAKS AVE, PASADENA, CA 91105-2541
(626) 405-8070
(626) 405-8804
Taxonomy
Speciality
Code
Description
License number
State
2471M2300X
Mammography Radiologic Technologist
Primary
A29996
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A299960
—
CA
Enumeration date
11/10/2010
Last updated
11/10/2010
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