Shin Imaging LLC
Clinic/Center, Radiology in Fullerton, CA. Organization (NPI-2).
NPI number1235689175
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1235689175
- Entity type
- Organization (NPI-2)
- Legal business name
- Shin Imaging LLC
- Organization subpart
- No
- Enumeration date
- Oct 4, 2016
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0200X | Clinic/Center, Radiology | – | – | Yes |
Other names
- Shin Imaging Center (Doing Business As)
Practice location
1955 Sunnycrest Dr Ste 110Fullerton, CA 92835-3653
Phone 310-995-6689
Mailing address
1955 Sunny Crest Dr Ste 110Fullerton, CA 92835-3653
Phone 714-578-8882 · Fax 714-578-8886
Other practice locations
5832 Beach Blvd # 104
Buena Park, CA 90621-2022
Buena Park, CA 90621-2022
Phone 714-578-8882
Authorized official
Charles J Maloney
President
3109956689
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