| Organization Name: | WEST COAST PETCT LLC |
| NPI Number: | 1033350228 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICHOLAS A. POAN (SVP - CORPORATE FINANCE) |
| Mailing Address: | 27882 Forbes Rd Suite 120 Laguna Niguel |
| State: | CA US |
| Postal Code: | 926771267 |
| Phone Number: | 8665334296 |
| Fax Number: | |
| NPI Enumeration Date: | 03/17/2009 |
| NPI Last Update Date: | 03/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |