Organization
PACIFIC COAST MOBILE RADIOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK CHAVEZ (CHIEF OPERATING OFFICER)
(714) 758-0660
Entity
Organization
Contact information
Practice address
1440 S STATE COLLEGE BLVD STE 3K, ANAHEIM, CA 92806-5721
(714) 758-0660
Mailing address
1440 S STATE COLLEGE BLVD STE 3K, ANAHEIM, CA 92806-5721
Taxonomy
Speciality
Code
Description
License number
State
261QR0207X
Mobile Mammography Clinic/Center
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
02/06/2024
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