Organization
ADVANCED CARDIAC IMAGING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMMA SEVILLENO BODOTA ARMDS (PRESIDENT)
(562) 401-0189
Entity
Organization
Contact information
Practice address
12632 BELLFLOWER BLVD, DOWNEY, CA 90242-4812
(562) 401-0189
(562) 401-0160
Mailing address
12632 BELLFLOWER BLVD, DOWNEY, CA 90242-4812
(562) 401-0189
(562) 401-0160
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IDTF00390
—
CA
Enumeration date
05/19/2006
Last updated
10/31/2012
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