Organization
RADCO MANAGEMENT, LLC
Active
Other names
Premier Imaging of La Mirada
Organization subpart
No
Provider details
NPI number
Authorized official
REYNOLD NISHIO (PRESIDENT OWNER)
(562) 944-0881
Entity
Organization
Contact information
Practice address
15651 IMPERIAL HWY, SUITE 103, LA MIRADA, CA 90638-1628
(562) 944-0881
(562) 944-0801
Mailing address
PO BOX 2966, LA HABRA, CA 90632-2966
(562) 944-0881
(562) 944-0801
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/09/2006
Last updated
03/25/2010
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