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General NPI Number Information
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NPI Number | 1225542665
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Entity Type | Organization
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Legal Business Name | PEAK DIAGNOSTIC
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Dates
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Enumeration Date | 11/21/2017
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 353 W 9TH AVE
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City | ESCONDIDO
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State | CA
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Zip | 92025-5032
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Country | US
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Telephone | 619-752-0001
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Fax |
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Provider Business Mailing Address
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Address Line | 353 W 9TH AVE
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City | ESCONDIDO
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State | CA
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Zip | 92025-5032
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MICHAEL WANG
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Credential | MD
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Telephone | 619-752-0001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number | A137558
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A137558
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License Number State | CA
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