Organization
INLAND IMAGING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEO BACA RPA (PRESIDENT)
(303) 944-3764
Entity
Organization
Contact information
Practice address
13330 BLOOMFIELD AVE, SUITE 114, NORWALK, CA 90650-3251
(562) 674-2911
(562) 674-2917
Mailing address
29822 SEA BREEZE WAY, MENIFEE, CA 92584-7981
(303) 944-3764
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
05CO1119
CA
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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