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General NPI Number Information
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NPI Number | 1467610212
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Entity Type | Organization
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Legal Business Name | QUALITY MEDICAL IMAGING OF CALIFORNIA, INC
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 16A JOURNEY STE 11
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City | ALISO VIEJO
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State | CA
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Zip | 92656-5375
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Country | US
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Telephone | 702-839-1133
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Fax | 702-851-1616
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Provider Business Mailing Address
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Address Line | 2490 PROFESSIONAL CT ST110
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City | LAS VEGAS
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State | NV
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Zip | 89128-0835
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Country | US
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Telephone | 702-839-1133
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Fax | 702-851-1616
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROGER C FASELT
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Credential |
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Telephone | 702-839-1133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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