Organization
COAST RADIOLOGY AND MEDICAL IMAGING
Active
Other names
Coast Radiology and Medical Imaging Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY T VALEY M.D. (PARTNER)
(562) 437-3833
Entity
Organization
Contact information
Practice address
1045 ATLANTIC AVE, SUITE 105, LONG BEACH, CA 90813-3408
(562) 437-3833
(562) 624-0741
Mailing address
1045 ATLANTIC AVE, SUITE 105, LONG BEACH, CA 90813-3408
(562) 437-3833
(562) 624-0741
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0017222
—
CA
05
—
GR0017223
—
CA
Enumeration date
05/09/2006
Last updated
06/24/2015
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