Organization
BEAUMONT RADIOLOGY SERVICES LLC
Active
Other names
Highland Springs Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL E FONTOURA (CHAIRMAN)
(909) 558-4000
Entity
Organization
Contact information
Practice address
81 S. HIGHLAND SPRINGS AVENUE, SUITE 102, BEAUMONT, CA 92223
(949) 395-4536
(949) 364-2632
Mailing address
10 VIENNA, NEWPORT BEACH, CA 92660-6832
(949) 395-4536
(949) 364-2632
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2009
Last updated
05/01/2009
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