CENTURY RADIOLOGY MEDICAL GROUP INC NPI 1720032204

NPI Information

NPI: 1720032204
Provider Name: CENTURY RADIOLOGY MEDICAL GROUP INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3700 SOUTH ST
LAKEWOOD, CA
ZIP 90712
Phone: (562) 602-6810
Get Directions

CENTURY RADIOLOGY MEDICAL GROUP INC is a diagnostic radiology radiology in Lakewood, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. CENTURY RADIOLOGY MEDICAL GROUP INC NPI is 1720032204. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3700 SOUTH ST
LAKEWOOD, CA
ZIP 90712-419
Phone: (562) 602-6810
Fax: (562) 630-3594

The provider's authorized official is Marvin Fields .
The authorized official title is Medical Director and has the following contact phone number (562) 602-6810.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 2/22/2018.

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	2085R0202X	Radiology	Diagnostic Radiology			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	ZZZ13968Z	OTHER		BLUE SHIELD
2	ZZZ15759Z	OTHER		BLUE SHIELD
3	ZZZ76869Z	OTHER		BLUE SHIELD
4	GR0013840	MEDICAID	CALIFORNIA
5	GR0013841	MEDICAID	CALIFORNIA
6	ZZZ76869Z	MEDICAID	CALIFORNIA
7	ZZZ13785Z	OTHER		BLUE SHIELD
8	CE7194	OTHER		RAILROAD MEDICARE

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

NPI Synchronization or Removal

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