Organization
COASTAL DIAGNOSTIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE WONG (OWNER)
(888) 268-8607
Entity
Organization
Contact information
Practice address
1010 W LA VETA AVE STE 615, ORANGE, CA 92868-4310
(888) 268-8607
(951) 461-7074
Mailing address
PO BOX 61327, IRVINE, CA 92602-6044
(888) 268-8607
(951) 461-7074
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
—
—
Other
Enumeration date
06/06/2014
Last updated
10/05/2018
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