Organization
VOXEL IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA T WATANABE M.D. (CEO)
(310) 546-6033
Entity
Organization
Contact information
Practice address
1215 E CHAPMAN AVE, ORANGE, CA 92866-2237
(909) 232-0056
Mailing address
2711 N SEPULVEDA BLVD, #284, MANHATTAN BEACH, CA 90266-2725
(310) 546-6033
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
G63862
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G638620
—
CA
Enumeration date
02/12/2016
Last updated
02/28/2017
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