Organization
ORANGE COUNTY REGIONAL PET CENTER-IRVINE LLC
Active
Other names
INSIGHT IMAGING - O.C. PET
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN G DRAZBA (SENIOR V.P. & CHIEF ACCOUNTING OFCR)
(949) 282-6000
Entity
Organization
Contact information
Practice address
16300 SAND CANYON AVE, STE 103, IRVINE, CA 92618-3711
(877) 826-4669
(949) 753-8153
Mailing address
FILE 57174, LOS ANGELES, CA 90074-0001
(949) 282-6000
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
04/18/2006
Last updated
05/01/2008
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