Molecular Imaging Sorrento Valley, LLC
NPI #1437108776 in San Diego, California
Provider Information
- NPI Number
- 1437108776
- Entity Type
- Organization
- Organization Name
- Molecular Imaging Sorrento Valley, LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- May 5, 2006
- Last Updated
- Jul 24, 2007
Practice Location
- Address
- 11388 SORRENTO VALLEY RD
- Address 2
- SUITE 100
- City
- San Diego
- State
- California
- ZIP Code
- 92121-1345
- Phone
- (858) 373-2860
Authorized Official
- Name
- MR. KENNETH C FREDERICK
- Title
- CEO
- Phone
- (858) 642-0032
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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