Organization
ENVISION HEALTHCARE, INC.
Active
Other names
WIDE OPEN MRI
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE G. WEBER (COO)
(858) 455-7127
Entity
Organization
Contact information
Practice address
3715 E SOUTH ST, LONG BEACH, CA 90805-4521
(562) 602-3070
(562) 602-0727
Mailing address
3715 E SOUTH ST, LONG BEACH, CA 90805-4521
(562) 602-3070
(562) 602-0727
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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