Lifescape Imaging Cypress LLC
Specialist in Torrance, CA. Organization (NPI-2).
NPI number1801036751
StatusActive
Last updated in NPPESJun 18, 2009
Details
- NPI
- 1801036751
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifescape Imaging Cypress LLC
- Organization subpart
- No
- Enumeration date
- Mar 4, 2009
- Last updated
- Jun 18, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | A29726 | CA | Yes |
| 174400000X | Specialist | G065833 | CA |
Practice location
24584 Hawthorne BlvdTorrance, CA 90505-6807
Phone 310-783-7656
Mailing address
10601 Walker StCypress, CA 90630-4733
Phone 714-656-2130
Authorized official
John D Rotondo
President
3102653123
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