Organization
OPEN SYSTEM MRI 1 A CALIFORNIA LIMITED PARTNERSHIP
Active
Other names
Open System Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH O BISHOP III (CEO)
(760) 346-6413
Entity
Organization
Contact information
Practice address
1401 N TUSTIN AVE, 170, SANTA ANA, CA 92705-8644
(714) 543-7643
(714) 480-7829
Mailing address
PO BOX 1595, RANCHO MIRAGE, CA 92270
(760) 346-6413
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TD004
MEDICARE PTAN
—
Enumeration date
07/17/2006
Last updated
10/31/2012
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