Organization
MEMORIALCARE IMAGING CENTER AT SAN CLEMENTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS FINCH (CHIEF COMPLIANCE OFFICER)
(714) 377-3218
Entity
Organization
Contact information
Practice address
675 CAMINO DE LOS MARES, SUITE 101, SAN CLEMENTE, CA 92673
(949) 493-8799
(949) 493-2625
Mailing address
675 CAMINO DE LOS MARES, SUITE 101, SAN CLEMENTE, CA 92673-2835
(949) 493-8799
(949) 493-2625
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Enumeration date
03/27/2010
Last updated
08/23/2018
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