COASTAL IMAGE GROUP
Radiology at Corporate Park, Irvine, CA

License number
California A86825
Category
Radiology
Type
Diagnostic Radiology
License number
California A86825
Category
Radiology
Type
Diagnostic Ultrasound
Owner
Name: DR. ELLEN TERESA SONG M.D.
Title: PRESIDENT
Phone: (714) 904-5594
Address
Address
62 Corporate Park STE 120, Irvine, CA 92606
National Provider ID: 1073759601
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about COASTAL IMAGE GROUP at bizstanding.com

COASTAL IMAGE GROUP, INC

Irvine, CA

Doing business as:
Coastal Image Group
Registration:
Sep 13, 2006
Phone:
(949) 748-8866 (Phone)
Addresses:
82 Discovery, Irvine, CA 92618 (Physical)
62 Corporate Park, Irvine, CA 92606
State ID:
C2903817
Business type:
Articles of Incorporation
President:
Ellen Teresa Song (President)
Agent:
Joseph S. Yung & Co,Fountain Valley, CA 92708 (Physical)

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