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AEGIS PEDIATRIC IMAGING MEDICAL GROUP NPI 1376698548


NPI Information

NPI: 1376698548
Provider Name: AEGIS PEDIATRIC IMAGING MEDICAL GROUP
Classification: Radiology - 2085P0229X
Entity Type: Organization

Specialization: Pediatric Radiology

Address:
116 W LIME AVE
MONROVIA, CA
ZIP 91016
Phone: (626) 391-2014
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AEGIS PEDIATRIC IMAGING MEDICAL GROUP is a pediatric radiology radiology in Monrovia, CA. The provider is a radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. AEGIS PEDIATRIC IMAGING MEDICAL GROUP NPI is 1376698548. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

116 W LIME AVE
MONROVIA, CA
ZIP 91016-841
Phone: (626) 391-2014
Fax: (626) 915-1209

The provider's authorized official is Marvin Nelson .
The authorized official title is Managing Partner and has the following contact phone number (626) 391-2014.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 8/22/2020.


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
12085P0229XRadiologyPediatric RadiologyYes

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

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