Organization
ELITE DIAGNOSTIC IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR A. TORRES (COO)
(760) 843-2900
Entity
Organization
Contact information
Practice address
17260 BEAR VALLEY RD, SUITE 109, VICTORVILLE, CA 92395-7777
(760) 843-2900
(760) 843-0144
Mailing address
17260 BEAR VALLEY RD, SIUTE 112, VICTORVILLE, CA 92395-7777
(760) 843-2900
(760) 843-0144
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
200432110020
CA
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
12/12/2008
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