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Orange Coast Radiology Medical Group Inc
Specialist in Ridgecrest, California
NPI 1790882231

Orange Coast Radiology Medical Group Inc is a Specialist based in San Clemente, CA. Orange Coast Radiology Medical Group Inc practices in Ridgecrest, CA. The NPI Number for Orange Coast Radiology Medical Group Inc is 1790882231 and holds a License No. A31455 (California).

The current practice location address for Orange Coast Radiology Medical Group Inc is 1081 N China Lake Blvd, Ridgecrest, CA and can be reached out via phone at 760-446-0642.

Location: 1081 N China Lake Blvd, Ridgecrest, CA, 92673-0130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790882231
Provider Name
Orange Coast Radiology Medical Group Inc
Credential
Provider Entity Type
Organization
Address
1081 N China Lake Blvd, Ridgecrest, CA, 92673-0130
Phone Number
760-446-0642
Fax Number
Provider Enumeration Date
09/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A314550 05 CA
ZZZ74221Z 05 CA
institution
Provider Business Practice Location Address Details
Address
1081 N China Lake Blvd
City
Ridgecrest
State
California
Zip
93555-3130
Phone Number
760-446-0642
Fax Number
person
Provider Business Mailing Address Details
Address
1081 N China Lake Blvd
City
Ridgecrest
State
California
Zip
93555-3130
Phone Number
760-446-0642
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A31455 (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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