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General NPI Number Information
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NPI Number | 1770834830
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Entity Type | Organization
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Legal Business Name | ORANGE COUNTY IMAGING SPECIALISTS
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Dates
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Enumeration Date | 09/28/2012
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Last Update Date | 09/28/2012
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Provider Practice Location Address
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Address Line | 1001 N TUSTIN AVE
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City | SANTA ANA
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State | CA
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Zip | 92705-3502
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Country | US
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Telephone | 949-583-9264
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Fax | 949-269-9139
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Provider Business Mailing Address
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Address Line | 27758 SANTA MARGARITA PKWY #285
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6709
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Country | US
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Telephone | 949-859-0400
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Fax | 949-269-9139
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SEYED SHAHROKNI
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Credential |
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Telephone | 949-859-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | A67310
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License Number State | CA
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