Organization
LIFESCAPE IMAGING CYPRESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN D ROTONDO (PRESIDENT)
(310) 265-3123
Entity
Organization
Contact information
Practice address
24584 HAWTHORNE BLVD, TORRANCE, CA 90505-6807
(310) 783-7656
Mailing address
10601 WALKER ST, CYPRESS, CA 90630-4733
(714) 656-2130
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A29726
CA
174400000X
Specialist
G065833
CA
Other
Enumeration date
03/04/2009
Last updated
06/18/2009
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