Organization
BLUEBEAM RADIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIKRAM M HATTI M.D. (PRESIDENT)
(562) 245-7814
Entity
Organization
Contact information
Practice address
3113 CORONADO DR, FULLERTON, CA 92835-1725
(562) 245-7814
Mailing address
3113 CORONADO DR, FULLERTON, CA 92835-1725
(562) 245-7814
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A92712
CA
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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