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General NPI Number Information
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NPI Number | 1114797305
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Entity Type | Organization
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Legal Business Name | DEL REY IMAGING CENTER'S, INC
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 16333 WHITTIER BLVD
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City | WHITTIER
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State | CA
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Zip | 90603-2906
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Country | US
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Telephone | 562-449-8673
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Fax |
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Provider Business Mailing Address
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Address Line | 321 W 1300 S STE 220
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City | HEBER CITY
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State | UT
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Zip | 84032-3145
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Country | US
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Telephone | 435-422-2003
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. RAMON C GONZALEZ
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Credential |
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Telephone | 562-449-8673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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