NPI: 1275838336
Provider Name: CANCER CENTER IMAGING INC.
Doing Business As: KSK IMAGING CENTER OF IRVINE, KSK BREAST CENTER OF IRVINE
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization
Specialization: Radiology
CLIA Number: 05D2265819
Address:
16100 SAND CANYON AVE STE 130
IRVINE, CA
ZIP 92618
Phone: (949) 502-3475
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CANCER CENTER IMAGING INC. is a radiology clinic center in Irvine, CA. CANCER CENTER IMAGING INC. NPI is 1275838336. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ksk Imaging Center Of Irvine, Ksk Breast Center Of Irvine.
The provider's business location address is:
16100 SAND CANYON AVE STE 130
IRVINE, CA
ZIP 92618-722
Phone: (949) 502-3475
Fax: (949) 387-4013
The provider's authorized official is Kenneth M. Tokita .
The authorized official title is Medical Director and has the following contact phone number (949) 417-1100.
The CLIA number assigned to this NPI record is 05D2265819 - other - diag imagining facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/21/2011 and was last updated on 8/1/2022.