Organization
COASTAL IMAGING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI CHARTIER (MANAGER)
(951) 278-5590
Entity
Organization
Contact information
Practice address
62 SAINT CROIX, LAGUNA NIGUEL, CA 92677-5195
(951) 278-5590
(951) 272-9924
Mailing address
1180 OLYMPIC DR, SUITE 108, CORONA, CA 92881-3393
(951) 278-5590
(951) 272-9924
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
TG327
CA
Other
Enumeration date
03/31/2008
Last updated
02/27/2012
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