Organization
MOLECULAR IMAGING CORPORATION
Active
Other names
SAN ANTONIO MOLECULAR IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH C FREDERICK (CEO)
(858) 642-0032
Entity
Organization
Contact information
Practice address
7777 MILLIKEN AVE, SUITE 110, RANCHO CUCAMONGA, CA 91730-6780
(909) 948-8034
Mailing address
9530 TOWNE CENTRE DR, SUITE 120, SAN DIEGO, CA 92121-1981
(858) 642-0032
(858) 642-0032
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
042159
CA
Other
Enumeration date
05/05/2006
Last updated
09/06/2023
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