Organization
MY IMAGING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PERLA I NUNEZ (OFFICE MANAGER)
(323) 648-0500
Entity
Organization
Contact information
Practice address
616 E ALVARADO ST STE D, FALLBROOK, CA 92028-2350
(760) 689-6100
(760) 689-6110
Mailing address
5757 WILSHIRE BLVD STE 100, LOS ANGELES, CA 90036-3686
(323) 648-0500
(323) 648-0508
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
CA
2085R0202X
Diagnostic Radiology Physician
—
CA
2085U0001X
Diagnostic Ultrasound Physician
—
CA
247100000X
Radiologic Technologist
—
CA
2471C3401X
Computed Tomography Radiologic Technologist
—
CA
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
—
CA
261QR0200X
Radiology Clinic/Center
Primary
—
CA
305R00000X
Preferred Provider Organization
—
CA
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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