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Medical Diagnostic
Radiology Clinic/Center in Huntington Park, California
NPI 1861614570

Medical Diagnostic is a Radiology Clinic/Center based in Huntington Park, CA and is specialized in Radiology. Medical Diagnostic practices in Huntington Park, CA. The NPI Number for Medical Diagnostic is 1861614570 and holds a License No. G23748 (California).

The current practice location address for Medical Diagnostic is 2736 E Florence Ave, Huntington Park, CA and can be reached out via phone at 323-581-4195.

Location: 2736 E Florence Ave, Huntington Park, CA, 90255-5747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861614570
Provider Name
Medical Diagnostic
Credential
Provider Entity Type
Organization
Address
2736 E Florence Ave, Huntington Park, CA, 90255-5747
Phone Number
323-581-4195
Fax Number
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DIAA00080 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
2736 E Florence Ave
City
Huntington Park
State
California
Zip
90255-5747
Phone Number
323-581-4195
Fax Number
person
Provider Business Mailing Address Details
Address
2736 E Florence Ave
City
Huntington Park
State
California
Zip
90255-5747
Phone Number
323-581-4195
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
G23748 (California)
Definition
Definition to come...
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