Organization
BAY HARBOR MRI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANIA M REYES D.O. (OFFICE DIRECTOR)
(310) 325-9901
Entity
Organization
Contact information
Practice address
1403 LOMITA BLVD, SUITE 107, HARBOR CITY, CA 90710-2076
(310) 325-9901
(310) 325-0202
Mailing address
1403 LOMITA BLVD, SUITE 107, HARBOR CITY, CA 90710-2076
(310) 325-9901
(310) 325-0202
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A321511
MEDICAL
CA
01
—
TD062
PTAN
CA
Enumeration date
07/13/2006
Last updated
07/21/2022
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