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Southern California Portable X-ray &ekg
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Costa Mesa, California
NPI 1902003429

Southern California Portable X-ray &ekg is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Costa Mesa, CA. Southern California Portable X-ray &ekg practices in Costa Mesa, CA. The NPI Number for Southern California Portable X-ray &ekg is 1902003429 and holds a License No. RHT41451 (California).

The current practice location address for Southern California Portable X-ray &ekg is 125 Baker St E, Costa Mesa, CA and can be reached out via phone at 714-979-2581 and via fax at 714-979-2584.

Location: 125 Baker St E, Costa Mesa, CA, 92626-4509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902003429
Provider Name
Southern California Portable X-ray &ekg
Credential
Provider Entity Type
Organization
Address
125 Baker St E, Costa Mesa, CA, 92626-4509
Phone Number
714-979-2581
Fax Number
714-979-2584
Provider Enumeration Date
06/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
125 Baker St E
City
Costa Mesa
State
California
Zip
92626-4509
Phone Number
714-979-2581
Fax Number
714-979-2584
person
Provider Business Mailing Address Details
Address
125 Baker St E
City
Costa Mesa
State
California
Zip
92626-4509
Phone Number
714-979-2581
Fax Number
714-979-2584
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
RHT41451 (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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