FULL BODY SCANNING OF ORANGE COUNTY LLC


Address: 3 Corporate Plaza, Suite 100, Newport Beach, CA 92660
Phone: 9497266470

FULL BODY SCANNING OF ORANGE COUNTY LLC (NPI# 1891982484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891982484
Entity Type Organization
Organization Name FULL BODY SCANNING OF ORANGE COUNTY LLC
Other Organization Name STELLAR MEDICAL IMAGING
Practice Address 3 Corporate Plaza
Suite 100
Newport Beach
CA 92660
Mailing Address 8677 Via La Jolla Dr
#1252
La Jolla
CA 92037
Practice Telephone 9497266470
Practice Fax Number 8582720690
Mailing Telephone 9497066470
Mailing Fax Number 8582720698
Enumeration Date 2007-09-27
Last Update Date 2007-09-27
Authorized Official Name DINO BERARDINO (PRESIDENT CEO)
Authorized Official Telephone 6197783913
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1200X Clinic/Center
Specialization: Magnetic Resonance Imaging (MRI)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Stellar Medical Imaging Doing Business As Name - Organization

Office Location

Street Address 3 CORPORATE PLAZA
SUITE 100
City NEWPORT BEACH
State CA
Zip Code 92660

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Taxonomy Information

Taxonomy Code 261QM1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Magnetic Resonance Imaging (MRI)

Taxonomy Definition

Definition to come...

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Competitor

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City NEWPORT BEACH
Zip Code 92660

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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