Organization
SOCAL MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIDO CHEN M.D. (CEO)
(714) 321-8854
Entity
Organization
Contact information
Practice address
12850 CRAWFORD DR, TUSTIN, CA 92782-1059
(714) 321-8854
Mailing address
12850 CRAWFORD DR, TUSTIN, CA 92782-1059
(714) 321-8854
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
FAC69883
CA
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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