Organization
UNIVERSITY DIAGNOTICS, INC.
Active
Other names
Orange County Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
SEYED SHAHROKNI M.D. (OWNER/ MEDICAL DIRECTOR)
(949) 462-3999
Entity
Organization
Contact information
Practice address
27725 SANTA MARGARITA PARKWAY, SUITE 101, MISSION VIEJO, CA 92691-6706
(949) 462-3999
(949) 462-3777
Mailing address
27758 SANTA MARGARITA PARKWAY, #409, MISSION VIEJO, CA 92691-6709
(949) 364-5716
(949) 364-5777
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
A67310
CA
261QR0200X
Radiology Clinic/Center
—
—
261QR0206X
Mammography Clinic/Center
A67310
CA
261QR0206X
Mammography Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237923
MAMMOGRAPHY CERT NUM
CA
01
—
DD6379
RAILROAD MEDICARE
CA
05
—
GR0098650
—
CA
01
—
ZZZ66771Z
BLUE SHIELD OF CA
CA
Enumeration date
10/15/2005
Last updated
08/14/2012
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