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PACIFIC AMERICAN MEDICAL SERVICE INC NPI 1952407629


NPI Information

NPI: 1952407629
Provider Name: PACIFIC AMERICAN MEDICAL SERVICE INC
Classification: Radiologic Technologist - 2471C3402X
Entity Type: Organization

Specialization: Radiography

Address:
5288 EASTGATE MALL
SAN DIEGO, CA
ZIP 92121
Phone: (858) 622-0792
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PACIFIC AMERICAN MEDICAL SERVICE INC is a radiography radiologic technologist in San Diego, CA. The provider is a radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care. PACIFIC AMERICAN MEDICAL SERVICE INC NPI is 1952407629. The provider is registered as an organization entity type.

The provider's business location address is:

5288 EASTGATE MALL
SAN DIEGO, CA
ZIP 92121-835
Phone: (858) 622-0792
Fax: (858) 866-0760

The provider's authorized official is Roy Anthony Brown .
The authorized official title is Ceo and has the following contact phone number (858) 622-0792.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 3/22/2012.


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
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierRHF69929CALIFORNIANo
22471C3402XRadiologic TechnologistRadiographyYes

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
1TG149BMEDICARE PINCALIFORNIA
2TG149AMEDICARE PINCALIFORNIA

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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