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Organization

CROWN VALLEY RADIOLOGISTS INC A PROFESSIONAL MEDICAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TALAL BEYDOUN MD (MEDICAL DIRECTOR)
(949) 367-1010
Entity
Organization

Contact information

Practice address
27401 LOS ALTOS STE 150, MISSION VIEJO, CA 92691-8013
(949) 367-1010
(949) 367-1011
Mailing address
27401 LOS ALTOS STE 150, MISSION VIEJO, CA 92691-8013
(949) 367-1010
(949) 367-1011

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
2085R0202X
Diagnostic Radiology Physician
261QR0200X
Radiology Clinic/Center
Primary

Other

Enumeration date
04/13/2006
Last updated
07/08/2020
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