Organization
SO CAL IMAGE CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER KATSIYIANNIS MD,FSCAI (PARTNER)
(951) 487-6199
Entity
Organization
Contact information
Practice address
1695 S SAN JACINTO AVE, SUITE N, SAN JACINTO, CA 92583-5103
(951) 487-6199
Mailing address
1695 S SAN JACINTO AVE, SUITE N, SAN JACINTO, CA 92583-5103
(951) 487-6199
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G88008
CA
246W00000X
Cardiology Technician
Primary
G88008
CA
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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