Organization
ALLIANCE INTERVENTIONAL INSTITUTE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILBERT ERADAT (CEO)
(661) 480-5956
Entity
Organization
Contact information
Practice address
631 W AVENUE Q, STE A, PALMDALE, CA 93551-3892
(661) 575-0705
(661) 575-0711
Mailing address
631 W AVENUE Q STE A, PALMDALE, CA 93551-3892
(661) 480-5956
(661) 480-5976
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
A107977
CA
Other
Enumeration date
07/20/2016
Last updated
10/17/2018
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