Organization
SOUTH BAY X-RAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE A VASCONEZ R.T (R) (OWNER)
(310) 989-1677
Entity
Organization
Contact information
Practice address
1029 S HARLAN AVE, COMPTON, CA 90220-4215
(310) 989-1677
Mailing address
1029 S HARLAN AVE, COMPTON, CA 90220-4215
(310) 989-1677
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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