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NPI Code Detail

MEDICARE: ACCUSCAN DIAGNOSTIC SERVICES

MEDICARE: ACCUSCAN DIAGNOSTIC SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247200000XOther Technician002542091-0001-2CA

General Provider Information

NPI Number : 1558669093
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACCUSCAN DIAGNOSTIC SERVICES
Provider Business Mailing Address
First Line : 14621 TITUS ST
Second Line : SUITE 131
City : VAN NUYS
State : CA
Zip : 91402-4905
Country : US
Telephone Number : 818-908-5925
Fax Number : 818-908-5925
Provider Business Practice Location Address
First Line : 14621 TITUS ST
Second Line : SUITE 131
City : VAN NUYS
State : CA
Zip : 91402-4905
Country : US
Telephone Number : 818-908-5925
Fax Number : 818-908-5925
Authorized Official
Title or Position : OWNER
Name : MRS. ZORAYDA GAUZON
Credential :
Telephone Number : 818-647-2103
Provider Enumeration Date : 03/08/2011
Last Update Date : 03/08/2011

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Directions to “ACCUSCAN DIAGNOSTIC SERVICES ” Practice Location

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