Jacaranda Radiology
NPI #1356620512 in Hesperia, California
Provider Information
- NPI Number
- 1356620512
- Entity Type
- Organization
- Organization Name
- Jacaranda Radiology
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ABRAHAM WILSON INC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Aug 5, 2011
- Last Updated
- Aug 5, 2011
Practice Location
- Address
- 12021 JACARANDA AVE STE 104
- City
- Hesperia
- State
- California
- ZIP Code
- 92345-4978
- Phone
- (760) 956-5561
Authorized Official
- Name
- MISS LAKESHA SCOTT, VN
- Title
- ADMINISTRATIVE MANAGER
- Phone
- (760) 956-2636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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