Provider Type Icon

SOUTHERN CALIFORNIA HEAD NECK IMAGING CENTER NPI 1992749816


NPI Information

NPI: 1992749816
Provider Name: SOUTHERN CALIFORNIA HEAD NECK IMAGING CENTER
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1301 2OTH ST
SUITE 300
SANTA MONICA, CA
ZIP 90404
Phone: (310) 829-7792
Get Directions

SOUTHERN CALIFORNIA HEAD NECK IMAGING CENTER is a specialist in Santa Monica, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHERN CALIFORNIA HEAD NECK IMAGING CENTER NPI is 1992749816. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1301 2OTH ST
SUITE 300
SANTA MONICA, CA
ZIP 90404-053
Phone: (310) 829-7792
Fax: (310) 829-4136

The provider's authorized official is Robert J. Adair .
The authorized official title is Medical Director and has the following contact phone number (310) 829-7792.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 7/21/2022.


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
1174400000XSpecialistYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.