Organization
COAST FLURSCOPY IMAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SYLVIA YOUSSEF (OWNER)
(714) 847-3322
Entity
Organization
Contact information
Practice address
8700 WARNER AVE STE 200, FOUNTAIN VALLEY, CA 92708-3212
(714) 641-1111
Mailing address
8700 WARNER AVE STE 200, FOUNTAIN VALLEY, CA 92708-3212
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
RHF73720
CA
Other
Enumeration date
01/13/2017
Last updated
01/26/2017
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