Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Apr 29, 2025
License(s)
915 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 200 S MANCHESTER AVE | Orange, CA 92868-3217 | 832-533-7045 |
| LOCATION | 101 THE CITY DR S | Orange, CA 92868-3201 | 714-456-6921 |
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