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NPI Code Detail

MEDICARE: WESTCOAST RADIOLOGY ASSOCIATES PLLC

MEDICARE: WESTCOAST RADIOLOGY ASSOCIATES PLLC
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
1261QR0200XRadiology Clinic/Center

General Provider Information

NPI Number : 1932744893
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTCOAST RADIOLOGY ASSOCIATES PLLC
Provider Business Mailing Address
First Line : 4193 FLAT ROCK DR STE 200
Second Line :
City : RIVERSIDE
State : CA
Zip : 92505-7113
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4193 FLAT ROCK DR STE 200
Second Line :
City : RIVERSIDE
State : CA
Zip : 92505-7113
Country : US
Telephone Number : 404-271-4798
Fax Number :
Authorized Official
Title or Position : MGR
Name : ALFRED SEIN
Credential : MD
Telephone Number : 404-271-4798
Provider Enumeration Date : 11/14/2019
Last Update Date : 11/14/2019

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