Provider First Line Business Practice Location Address:
4241 LONG BEACH BLVD
Provider Second Line Business Practice Location Address:
RAD-IMAGE MEDICAL GROUP INC.
Provider Business Practice Location Address City Name:
LONG BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90807-2003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-912-2507
Provider Business Practice Location Address Fax Number:
484-918-2507
Provider Enumeration Date:
07/10/2010