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Contact Information

COAST RADIOLOGY IMAGING AND INTERVENTION INC
27700 MEDICAL CENTER ROAD
RADIOLOGY DEPARTMENT
MISSION VIEJO, CA92691
 Phone: 949-364-7744
 Fax: 949-364-4233
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for COAST RADIOLOGY IMAGING AND INTERVENTION INC · (Female)

NPI Number 1376690636
Status Active
Credentials
Entity Individual
Enumeration date 01/05/2007
Last updated 11/30/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA Medicaid GR0104330
  • CA Other ZZZ69492Z BLUE SHIELD
  • CA Other ZZZ69493Z BLUE SHIELD
  • CA Other ZZZ69494Z BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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