Organization
MEDICAL ULTRASOUND DIAGNOSTIC ALLIANCE INC.
Active
Organization
MEDICAL ULTRASOUND DIAGNOSTIC ALLIANCE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAK CHIU PETER WONG RDCS (PRESIDENT)
(626) 255-8383
Entity
Organization
Contact information
Practice address
20422 LEAP COURT, WALNUT, CA 91789-3551
(626) 255-8383
(909) 595-7233
Mailing address
20422 LEAP CT, WALNUT, CA 91789-3551
(626) 255-8383
(909) 595-7233
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
Primary
TG031
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TG031
IDTF PROVIDER #
CA
Enumeration date
02/20/2007
Last updated
08/22/2020
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