Organization
LAKE ELSINORE DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERLA I NUNEZ (MANAGER)
(951) 245-3400
Entity
Organization
Contact information
Practice address
31569 CANYON ESTATES DR STE 120, LAKE ELSINORE, CA 92532-0470
(951) 245-3400
Mailing address
31569 CANYON ESTATES DR STE 120, LAKE ELSINORE, CA 92532-0470
(951) 245-3400
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
A73716
CA
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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