Organization
CROWN VALLEY RADIOLOGIST
Active
Other names
CROWN VALLEY IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TALAL BEYDOUN MD (MEDICAL DIRECTOR)
(949) 367-1010
Entity
Organization
Contact information
Practice address
27401 LOS ALTOS STE 150, MISSION VIEJO, CA 92691-8013
(949) 367-1010
(949) 367-1011
Mailing address
27401 LOS ALTOS STE 150, MISSION VIEJO, CA 92691
(949) 367-1010
(949) 367-1011
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
A107164
CA
261QR0200X
Radiology Clinic/Center
Primary
A30556
CA
Other
Enumeration date
11/24/2014
Last updated
02/02/2024
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