Organization
SOUTHERN CALIFORNIA PORTABLE X-RAY &EKG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL M ASALY (PRESIDENT)
(714) 979-2581
Entity
Organization
Contact information
Practice address
125 BAKER ST E, STE.#110, COSTA MESA, CA 92626-4509
(714) 979-2581
(714) 979-2584
Mailing address
125 BAKER ST E, STE.#110, COSTA MESA, CA 92626-4509
(714) 979-2581
(714) 979-2584
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
RHT41451
CA
Other
Enumeration date
06/28/2007
Last updated
08/22/2020
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