Organization
ELITE DIAGNOSTIC, LLC
Active
Other names
ELITE DIAGNOSTIC IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANDEN MIRALLEGRO (MANAGER)
(714) 237-0999
Entity
Organization
Contact information
Practice address
5824 UPLANDER WAY, CULVER CITY, CA 90230-6608
(866) 354-8368
Mailing address
PO BOX 27696, ANAHEIM, CA 92809-0123
(866) 354-8968
Taxonomy
Speciality
Code
Description
License number
State
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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