Provider Demographics
NPI:1437615051
Name:MY ULTRASOUND HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:MY ULTRASOUND HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:909-590-9091
Mailing Address - Street 1:12598 CENTRAL AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-3500
Mailing Address - Country:US
Mailing Address - Phone:909-590-9091
Mailing Address - Fax:909-509-5915
Practice Address - Street 1:12598 CENTRAL AVE STE 107
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-3500
Practice Address - Country:US
Practice Address - Phone:909-590-9091
Practice Address - Fax:909-509-5915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-19
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty