Organization
SOUTH COAST ADVANCED IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMID VESAL MD (OWNER)
(949) 222-2722
Entity
Organization
Contact information
Practice address
27882 FORBES RD STE 120A, LAGUNA NIGUEL, CA 92677-1267
(949) 342-8522
Mailing address
27882 FORBES RD STE 120A, LAGUNA NIGUEL, CA 92677-1267
(949) 342-8522
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/23/2024
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