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WILLIAM M. KELLY M.D. INC. NPI 1235203316


NPI Information

NPI: 1235203316
Provider Name: WILLIAM M. KELLY M.D., INC.

Doing Business As: HEALTH SCAN IMAGING

Classification: Radiologic Technologist - 2471M1202X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging

Address:
8710 MONROE COURT
SUITE 100
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 581-6480
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WILLIAM M. KELLY M.D., INC. is a magnetic resonance imaging radiologic technologist in Rancho Cucamonga, CA. WILLIAM M. KELLY M.D., INC. NPI is 1235203316. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Health Scan Imaging.

The provider's business location address is:

8710 MONROE COURT
SUITE 100
RANCHO CUCAMONGA, CA
ZIP 91730-883
Phone: (909) 581-6480
Fax: (909) 581-6481

The provider's authorized official is Melonie Storer .
The authorized official title is Credentialing Administrator and has the following contact phone number (951) 302-2223.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 1/12/2010.


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
12085D0003XRadiologyDiagnostic NeuroimagingNo
22471M1202XRadiologic TechnologistMagnetic Resonance ImagingA34125CALIFORNIAYes

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
1A27387MEDICARE UPINCALIFORNIA
2ZZZ22856ZMEDICARE PIN

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: 11/14/2023

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