Organization
ONSITE MOBILE MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN M LEVINE MD (PRESIDENT)
(714) 347-1000
Entity
Organization
Contact information
Practice address
10333 EL CAMINO REAL, ATASCADERO, CA 93422-5808
(805) 468-2000
Mailing address
PO BOX 25033, SANTA ANA, CA 92799-5033
(714) 347-1010
(714) 347-1082
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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