CROWN VALLEY RADIOLOGISTS INC A PROFESSIONAL MEDICAL CORP NPI 1720042062

NPI Information

CROWN VALLEY RADIOLOGISTS INC A PROFESSIONAL MEDICAL CORP is a radiology clinic center in Mission Viejo, CA. CROWN VALLEY RADIOLOGISTS INC A PROFESSIONAL MEDICAL CORP NPI is 1720042062. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

27401 LOS ALTOS STE 150
MISSION VIEJO, CA
ZIP 92691-013
Phone: (949) 367-1010
Fax: (949) 367-1011

The provider's authorized official is Talal Beydoun .
The authorized official title is Medical Director and has the following contact phone number (949) 367-1010.

The CLIA number assigned to this NPI record is 05D2115462 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2006 and was last updated on 7/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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