Organization
SOUTHERN CALIFORNIA MOBILE X-RAY, LLC.
Active
Other names
Alert Mobile Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
JASON LIU MD (MEMBER)
(702) 308-2453
Entity
Organization
Contact information
Practice address
31945 COAST HWY, LAGUNA BEACH, CA 92651
(702) 308-2453
Mailing address
31945 COAST HWY, LAGUNA BEACH, CA 92651-6867
(702) 308-2453
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
FAC72258
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72258
CDPH
CA
Enumeration date
05/30/2013
Last updated
08/03/2018
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