Organization
PACIFIC BREAST CARE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICE M POLICE MD (PRESIDENT)
(949) 515-3544
Entity
Organization
Contact information
Practice address
1640 NEWPORT BLVD STE 200, COSTA MESA, CA 92627-3786
(949) 515-3544
(949) 706-6356
Mailing address
1640 NEWPORT BLVD STE 200, COSTA MESA, CA 92627-3786
(949) 515-3544
Taxonomy
Speciality
Code
Description
License number
State
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2944453
ARTICLES OF INCORPORATION
CA
01
—
FNP35928
MEDICAL LICENSE FIC NAME
CA
Enumeration date
05/24/2007
Last updated
11/10/2010
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