Organization
FULL BODY SCANNING OF ORANGE COUNTY LLC
Active
Other names
Stellar Medical Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DINO BERARDINO (PRESIDENT CEO)
(619) 778-3913
Entity
Organization
Contact information
Practice address
3 CORPORATE PLAZA, SUITE 100, NEWPORT BEACH, CA 92660
(949) 726-6470
(858) 272-0690
Mailing address
8677 VIA LA JOLLA DR, #1252, LA JOLLA, CA 92037
(949) 706-6470
(858) 272-0698
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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