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TOWER IMAGING MEDICAL GROUP INC NPI 1013962067


NPI Information

NPI: 1013962067
Provider Name: TOWER IMAGING MEDICAL GROUP, INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2202 WILSHIRE BLVD
SANTA MONICA, CA
ZIP 90403
Phone: (310) 264-9000
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TOWER IMAGING MEDICAL GROUP, INC is a diagnostic radiology radiology in Santa Monica, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. TOWER IMAGING MEDICAL GROUP, INC NPI is 1013962067. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2202 WILSHIRE BLVD
SANTA MONICA, CA
ZIP 90403-706
Phone: (310) 264-9000
Fax: (310) 264-9004

The provider's authorized official is Gerald M. Roth .
The authorized official title is President and has the following contact phone number (323) 549-3030.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 2/9/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0904XRadiologyNuclear RadiologyNo
22085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ07585ZOTHERCALIFORNIABLUE SHIELD
2ZZZ09295ZOTHERCALIFORNIABLUE SHIELD
3HW11779EMEDICARE PINCALIFORNIA
4A35848MEDICARE UPIN
5GR0056081MEDICAIDCALIFORNIA
6CQ2521MEDICARE PINCALIFORNIA
7GR0056085MEDICAIDCALIFORNIA
8HW11779DMEDICARE PINCALIFORNIA
9ZZZ59119ZOTHERCALIFORNIABLUE SHIELD
10GR0056084MEDICAIDCALIFORNIA
11W11779MEDICARE PINCALIFORNIA
12GR0056083MEDICAIDCALIFORNIA
13HW11779FMEDICARE PINCALIFORNIA
14ZZZ64302ZOTHERCALIFORNIABLUE SHIELD
15ZZZ05808ZOTHERCALIFORNIABLUE SHIELD
16CJ4483MEDICARE PINCALIFORNIA
17GR0056086MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.