Organization
ADVANCED FULLERTON IMAGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOSAM MOUSTAFA (PRESIDENT)
(760) 946-5177
Entity
Organization
Contact information
Practice address
301 W BASTANCHURY RD, # 130, FULLERTON, CA 92835-3419
(760) 946-5177
Mailing address
17868 US HIGHWAY 18, #358, APPLE VALLEY, CA 92307-1267
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A71010
CA
Other
Enumeration date
05/27/2008
Last updated
12/08/2009
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