Organization
ADVANCED MEMORIAL IMAGING GROUP, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAGDISH M. PATEL MD (PRESIDENT)
(714) 278-9363
Entity
Organization
Contact information
Practice address
301 W BASTANCHURY RD, #130, FULLERTON, CA 92835-3419
(714) 278-9363
(714) 278-9364
Mailing address
17868 US HIGHWAY 18, #358, APPLE VALLEY, CA 92307-1267
(760) 946-5177
(760) 946-5133
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
06/04/2007
Last updated
08/22/2013
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