Organization
MD MEDICAL DIAGNOSTICS, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL L KELLOGG MD (CEO)
(949) 493-4223
Entity
Organization
Contact information
Practice address
30100 TOWN CENTER DR, SUITE O-437, LAGUNA NIGUEL, CA 92677-2064
(949) 493-4223
(949) 493-8966
Mailing address
951 CALLE NEGOCIO, SUITE D, SAN CLEMENTE, CA 92673-6281
(949) 493-4223
(949) 493-8966
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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