Medical Imaging Center Of Southern California

LBN: Medical Imaging Center Of Southern California
Medical Imaging Center Of Southern California is an health care organization with primary practice located at 2827 Wilshire Blvd , Santa Monica CA 90403-4801. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Medical Imaging Center Of Southern California can be contacted via phone (310) 829-9788, or through Layne, Dairzette via phone (310) 829-9788.

Contact Information

Primary practice address
2827 Wilshire Blvd Santa Monica CA 90403-4801
Phone: (310) 829-9788
Fax: (310) 453-1576
Website:
Map and Directions
Authorized official contact:
Name: Layne, Dairzette
Phone: (310) 829-9788

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X W13479 California

Profile Details

NPI number 1700907433
LBN Legal business name Medical Imaging Center Of Southern California
DBA Doing business as
Authorized official Layne, Dairzette
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700907433 NPPES
California Other 123448 MAMMOGRAPHY CERTIFICATION
California Other ZZZ15575Z MAMMOGRAPHY CERTIFICATION

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