MEDIZEN MAGNOLIA, LLC

FOUNTAIN VALLEY, CA
NPI1700235215
Entity TypeOrganization
Authorized ContactDAVID T MAI
President
714-968-8998
Organization Subpart ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
Additional Taxonomies2085B0100X Radiology, Body Imaging
2085N0904X Radiology, Nuclear Radiology
2085U0001X Radiology, Diagnostic Ultrasound
261QR0200X Clinic/Center, Radiology
Enumeration Date2016-06-06
Last Update Date2016-06-06
Business Address
MEDIZEN MAGNOLIA, LLC
17305 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708-3721
Phone number: 714-968-8998
Mailing Address
MEDIZEN MAGNOLIA, LLC
17305 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708-3721
Phone number: 714-968-8998