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PROF.IMAGING GRPOUP INC NPI 1598711046


NPI Information

NPI: 1598711046
Provider Name: PROF.IMAGING GRPOUP, INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
9914 SAN JUAN AVE
SOUTH GATE, CA
ZIP 90280
Phone: (323) 569-6979
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PROF.IMAGING GRPOUP, INC is a diagnostic radiology radiology in South Gate, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PROF.IMAGING GRPOUP, INC NPI is 1598711046. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9914 SAN JUAN AVE
SOUTH GATE, CA
ZIP 90280-108
Phone: (323) 569-6979
Fax: (323) 249-4626

The provider's authorized official is Vadim Danielian .
The authorized official title is Manager and has the following contact phone number (323) 821-7772.

The enumeration date for this NPI number is 5/26/2006 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
12085R0202XRadiologyDiagnostic 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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