Whittier Radiolocal Associates, Inc
Diagnostic Radiology Physician in Whittier, CA(View on Map)
Legal Business Name
Whittier Radiolocal Associates, Inc
NPI Number
1457300493
NPI Type
Organization
Enumeration Date
05/08/2006
Specialties
(Taxonomies)Code
2085R0202X
2085B0100X
2085N0904X
Primary Taxonomy
Yes
No
No
Contact
Information
Purpose
Mailing
Location
Address
LOCK BOX 50164
9080 COLIMA RD
City
Los Angeles
Whittier
State
CA
CA
Postal Code
90074-0001
90605-1600
Country
US
US
Telephone Number
(714) 443-5959
(562) 907-1660
Authorized Official
Name
Dr. Maximino Basco
Title or Position
PRESIDENT
Telephone Number
(562) 907-1660
Identifiers
Identifier
ZZZ64837Z
GR0099770
Identifier State
CA
CA
Identifier Issuer
BLUE SHIELD GROUP
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/16/2009
Provider Address
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