Organization · NPI-2

365 Medical Corporation PC.

Radiology, Diagnostic Radiology · Monterey Park, CA

NPI number1134875339
StatusActive
Last updated in NPPESFeb 25, 2022

Details

NPI
1134875339
Entity type
Organization (NPI-2)
Legal business name
365 Medical Corporation PC.
Organization subpart
No
Enumeration date
Feb 25, 2022
Certification date
Feb 25, 2022
Last updated
Feb 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology––Yes

Practice location

1100 Ridgeside Dr
Monterey Park, CA 91754-3731

Phone 714-880-0259

Mailing address

1924 N Canyon Cir
Anaheim, CA 92807-1208

Phone 714-880-0259

Authorized official

Nadeem H Syed
Officer
7148800259

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