Organization
MIKA DIAGNOSTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA HANNA (MANAGER)
(949) 770-6022
Entity
Organization
Contact information
Practice address
25422 TRABUCO RD, STE 105-623, LAKE FOREST, CA 92630-2791
(949) 770-6022
(949) 837-8829
Mailing address
PO BOX 577, LAKE FOREST, CA 92609-0577
(949) 770-6022
(949) 837-8829
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
CA
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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