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Pacific Shores Radiology Medical Group Inc.
Specialist in Anaheim, California
NPI 1326104605

Pacific Shores Radiology Medical Group Inc. is a Specialist based in Torrance, CA. Pacific Shores Radiology Medical Group Inc. practices in Anaheim, CA. The NPI Number for Pacific Shores Radiology Medical Group Inc. is 1326104605 and holds a License No. G60583 (California).

The current practice location address for Pacific Shores Radiology Medical Group Inc. is 1025 S Anaheim Blvd, Anaheim, CA and can be reached out via phone at 714-563-2813 and via fax at 714-502-2691.

Location: 1025 S Anaheim Blvd, Anaheim, CA, 90510-3129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326104605
Provider Name
Pacific Shores Radiology Medical Group Inc.
Credential
Provider Entity Type
Organization
Address
1025 S Anaheim Blvd, Anaheim, CA, 90510-3129
Phone Number
714-563-2813
Fax Number
714-502-2691
Provider Enumeration Date
12/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1326104605 05 CA
institution
Provider Business Practice Location Address Details
Address
1025 S Anaheim Blvd
City
Anaheim
State
California
Zip
92805-5806
Phone Number
714-563-2813
Fax Number
714-502-2691
person
Provider Business Mailing Address Details
Address
1025 S Anaheim Blvd
City
Anaheim
State
California
Zip
92805-5806
Phone Number
714-563-2813
Fax Number
714-502-2691
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G60583 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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