Organization
PACIFIC MEDICAL IMAGING AND ONCOLOGY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD CHAO MD (PRESIDENT)
(626) 227-2727
Entity
Organization
Contact information
Practice address
707 S GARFIELD AVE, SUITE B-001, ALHAMBRA, CA 91801-5859
(626) 227-2727
(626) 227-2799
Mailing address
PO BOX 65, SIMI VALLEY, CA 93062-0065
(805) 577-8730
(805) 991-4065
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
C2578418
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0101900
—
CA
Enumeration date
08/25/2006
Last updated
12/12/2012
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