Organization
LOS ALAMITOS IMAGING CENTER LLC
Active
Other names
Alliance MRI at Los Alamitos Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
TONI COOPER (DIRECTOR OF CREDENTIALING)
(754) 206-6198
Entity
Organization
Contact information
Practice address
3771 KATELLA AVE, SUITE 101, LOS ALAMITOS, CA 90720-3108
(562) 799-3276
Mailing address
8300 W SUNRISE BLVD, PLANTATION, FL 33322-5406
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EXE70145F
—
CA
01
—
ZZZ64082Z
BLUE SHIELD
CA
Enumeration date
06/17/2006
Last updated
07/24/2023
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