Organization
ALLIANCE HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA LONGMORE-GRUND (EXEC VP & COO)
(800) 544-3215
Entity
Organization
Contact information
Practice address
438 W LAS TUNAS DR, SAN GABRIEL, CA 91776
(626) 289-5454
Mailing address
18201 VON KARMAN AVE STE 600, IRVINE, CA 92612-1176
(800) 544-3215
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470000288
RAILROAD MEDICARE
CA
05
—
IDTF00510
—
CA
01
—
ZZZ08762Z
BLUE SHIELD OF CA
CA
Enumeration date
11/29/2006
Last updated
05/23/2018
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