Organization
MAGNOLIA MEDICAL IMAGING CENTER INC A MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THANH G PHUNG MD (PRESIDENT)
(714) 893-1915
Entity
Organization
Contact information
Practice address
14571 MAGNOLIA ST STE 101, WESTMINSTER, CA 92683-5575
(714) 893-1915
(714) 898-8142
Mailing address
14571 MAGNOLIA ST STE 101, WESTMINSTER, CA 92683-5575
(714) 893-1915
(714) 898-8142
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
050920
CA
Other
Enumeration date
02/13/2007
Last updated
12/23/2015
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