Basic Information
| Provider Information | |||||||||
| NPI: | 1811210362 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALLIANCE HEALTHCARE SERVICES INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 BAYVIEW CIR | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | NEWPORT BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926602983 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9492425300 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3450 HILLCREST AVE | ||||||||
| Address2: | |||||||||
| City: | ANTIOCH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945318238 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9492425300 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/11/2010 | ||||||||
| LastUpdateDate: | 03/11/2010 | ||||||||
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| AuthorizedOfficialLastName: | POAN | ||||||||
| AuthorizedOfficialFirstName: | NICHOLAS | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | SVP, CORPORATE FINANCE | ||||||||
| AuthorizedOfficialTelephone: | 9492425321 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR0208X | Y | Ambulatory Health Care Facilities | Clinic/Center | Radiology, Mobile |
No ID Information.