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Southern California Mobile X-ray, Llc.
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Laguna Beach, California
NPI 1780021857

Southern California Mobile X-ray, Llc. is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Laguna Beach, CA. Southern California Mobile X-ray, Llc. practices in Laguna Beach, CA. The NPI Number for Southern California Mobile X-ray, Llc. is 1780021857 and holds a License No. FAC72258 (California).

The current practice location address for Southern California Mobile X-ray, Llc. is 31945 Coast Hwy, Laguna Beach, CA and can be reached out via phone at 702-308-2453.

Location: 31945 Coast Hwy, Laguna Beach, CA, 92651-6867
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780021857
Provider Name
Southern California Mobile X-ray, Llc.
Credential
Provider Entity Type
Organization
Address
31945 Coast Hwy, Laguna Beach, CA, 92651-6867
Phone Number
702-308-2453
Fax Number
Provider Enumeration Date
05/30/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
72258 01 CA CDPH
institution
Provider Business Practice Location Address Details
Address
31945 Coast Hwy
City
Laguna Beach
State
California
Zip
92651
Phone Number
702-308-2453
Fax Number
person
Provider Business Mailing Address Details
Address
31945 Coast Hwy
City
Laguna Beach
State
California
Zip
92651
Phone Number
702-308-2453
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
FAC72258 (California)
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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