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Organization

SOUTHERN CALIFORNIA DIAGNOSTIC IMAGING, INC.

Active
Other names
Tan Tran M.D., Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN CHAO M.D. (PRESIDENT)
(714) 995-5471
Entity
Organization

Contact information

Practice address
408 S. BEACH BLVD., SUITE 106, ANAHEIM, CA 92804-1873
(714) 995-5471
(714) 995-5815
Mailing address
408 S. BEACH BLVD., SUITE 106, ANAHEIM, CA 92804-1873
(714) 995-5471
(714) 995-5815

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
261Q00000X
Clinic/Center
Primary
24687
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0964335
CA
Enumeration date
04/17/2007
Last updated
04/22/2009
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