PACIFIC ALLIANCE MEDICAL GROUP NPI 1487644027

NPI Information

NPI: 1487644027
Provider Name: PACIFIC ALLIANCE MEDICAL GROUP
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 05D2280005

Address:
531 W COLLEGE ST
LOS ANGELES, CA
ZIP 90012
Phone: (213) 683-9336
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PACIFIC ALLIANCE MEDICAL GROUP is a diagnostic radiology radiology in Los Angeles, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PACIFIC ALLIANCE MEDICAL GROUP NPI is 1487644027. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

531 W COLLEGE ST
LOS ANGELES, CA
ZIP 90012-315
Phone: (213) 683-9336

The provider's authorized official is William C. Chu .
The authorized official title is Radiologist and has the following contact phone number (626) 821-1411.

The CLIA number assigned to this NPI record is 05D2280005 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2005 and was last updated on 6/13/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging	A38858	CALIFORNIA	No
2	2085U0001X	Radiology	Diagnostic Ultrasound	A38858	CALIFORNIA	No
3	2085R0202X	Radiology	Diagnostic Radiology	A38858	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HA38858	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
2	00A388580	MEDICAID	CALIFORNIA
3	00A388580	OTHER	CALIFORNIA	BLUE SHIELD

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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