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COMMUNITY HEALTH IMAGING CENTERS

Ambulatory Health Care Facilities Clinic/Center Radiology, Mammography

Provider NPI: 1154763407

Organization Information:
Organization Name:  COMMUNITY HEALTH IMAGING CENTERS
Organization is not Subpart
Authorized Official:  JOHN  LETHIN  EXECUTIVE DIRECTOR  619-997-4859

Practice Location:
4060 FAIRMOUNT AVE  SAN DIEGO, CA 92105-1608 US
Tel: 619-997-4859  Fax: 619-342-1698

Business Mailing Address:
4060 FAIRMOUNT AVE  SAN DIEGO, CA 92105-1608 US
Tel: 619-997-4859  Fax: 619-342-1698

NPI Information:
NPI: 1154763407
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N261QR0206XAmbulatory Health Care Facilities
Clinic/Center
Radiology, Mammography
CA81412111187
Y261QR0200XAmbulatory Health Care Facilities
Clinic/Center
CA239408

Other Provider Identifiers:

IssuerNumberStateType
1154763407CA05
MEDICARECB248047CA01



American Medical Association 2012 taxonomy code information

Code: 261QR0200X

Type:

Classification:



Definition:



MEDICAL JOBS CA - Page 1

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