institution
Tustin Teleradiology Medical Group Inc.
Radiography Radiologic Technologist in Tustin, California
NPI 1326086703

Tustin Teleradiology Medical Group Inc. is a Radiography Radiologic Technologist based in Tustin, CA and is specialized in Radiography. Tustin Teleradiology Medical Group Inc. practices in Tustin, CA. The NPI Number for Tustin Teleradiology Medical Group Inc. is 1326086703 and holds a License No. G74535 (California).

The current practice location address for Tustin Teleradiology Medical Group Inc. is 13422 Newport Ave, Tustin, CA and can be reached out via phone at 714-665-6900 and via fax at 714-665-6904.

Location: 13422 Newport Ave, Tustin, CA, 92780-3746
institution
Provider Profile Details
NPI Number
1326086703
Provider Name
Tustin Teleradiology Medical Group Inc.
Credential
Provider Entity Type
Organization
Address
13422 Newport Ave, Tustin, CA, 92780-3746
Phone Number
714-665-6900
Fax Number
714-665-6904
Provider Enumeration Date
06/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G745350 05 CA
002082232 05 NV
ZZZ57939Z 01 CA BLUE SHIELD GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
13422 Newport Ave
City
State
Zip
92780-3746
Phone Number
714-665-6900
Fax Number
714-665-6904
person
Provider Business Mailing Address Details
Address
13422 Newport Ave
City
State
Zip
92780-3746
Phone Number
714-665-6900
Fax Number
714-665-6904
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Radiography
Taxonomy
License No.
G74535 (California)
Definition
Definition to come...
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