Dr ELLIOT I FANKUCHEN MD is a male medical professional, specializing in Diagnostic Radiology. He graduated in 1975 from State University Of New York At Buffalo School Of Medicine.
SOUTH COAST RADIOLOGICAL MEDICAL GROUP INC
31872 COAST HWY
LAGUNA BEACH
CA
926516773
Tel: 9494991311
| Npi | 1356394969 |
| Pac Id | 3678595352 |
| Professional Enrollment Id | I20051222000273 |
| Last Name | FANKUCHEN |
| First Name | ELLIOT |
| Middle Name | I |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | SOUTH COAST RADIOLOGICAL MEDICAL GROUP INC |
| Group Practice Pac Id | 0749225753 |
| Number Of Group Practice Members | 12 |
| Line 1 Street Address | 31872 COAST HWY |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LAGUNA BEACH |
| State | CA |
| Zip Code | 926516773 |
| Phone Number | 9494991311 |
| Hospital Affiliation Ccn 1 | 050678 |
| Hospital Affiliation Lbn 1 | ORANGE COAST MEMORIAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 050603 |
| Hospital Affiliation Lbn 2 | SADDLEBACK MEMORIAL MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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