Covalent Radiology INC A Professional Medical Corporation
Radiology, Diagnostic Radiology in Oceanside, CA. Organization (NPI-2).
NPI number1134839848
StatusActive
Last updated in NPPESJun 14, 2023
Details
- NPI
- 1134839848
- Entity type
- Organization (NPI-2)
- Legal business name
- Covalent Radiology INC A Professional Medical Corporation
- Organization subpart
- No
- Enumeration date
- Dec 5, 2022
- Certification date
- Jun 14, 2023
- Last updated
- Jun 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | Yes |
Other names
- Oceanside Advanced Medical Imaging (Doing Business As)
Practice location
3231 Waring Ct Ste NOceanside, CA 92056-4510
Phone 714-801-8878
Mailing address
11199 Tesota Loop StCorona, CA 92883-3059
Phone 714-801-8878
Authorized official
Michael Emeel Mousa
Director
7148018878
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