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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