Organization
COMPREHENSIVE RADIOLOGY ANALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASIA M LUKASZEK-SECOUSSE M.D. (OWNER)
(888) 922-2986
Entity
Organization
Contact information
Practice address
5024 KATELLA AVE STE 132, LOS ALAMITOS, CA 90720-2802
(888) 922-2986
(800) 503-6603
Mailing address
5024 KATELLA AVE STE 132, LOS ALAMITOS, CA 90720-2802
(888) 922-2986
(800) 503-6603
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C 038565
CA
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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