NPI 1417146903

Sd Xray LLC

Organisation Portable X-ray and/or Other Portable Diagnostic Imaging Supplier La Mesa, CA

Practice location

Address: 8900 Grossmont Blvd STE 1, La Mesa, CA 91941-4047
Phone: (619) 466-5628
Fax: (909) 595-5867
Mailing address: P.O. Box 4554, Diamond Bar, CA 91765

Authorised official

Name: Beau Michael Chung
Title: Medical Director
Phone: (949) 274-8807

Registered specialties

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Primary

Suppliers Taxonomy 335V00000X

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Registry record

NPI: 1417146903
Entity type: Organization
NPI issued: 19 Oct 2007
Record last updated: 11 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.