CITRUS MEDICAL IMAGING ASSOCIATES INC. NPI 1992801211

NPI Information

NPI: 1992801211
Provider Name: CITRUS MEDICAL IMAGING ASSOCIATES, INC.
Classification: Radiology - 2085B0100X
Entity Type: Organization

Specialization: Body Imaging

Address:
1000 LAKES DR
SUITE 170
WEST COVINA, CA
ZIP 91790
Phone: (626) 869-0293
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CITRUS MEDICAL IMAGING ASSOCIATES, INC. is a body imaging radiology in West Covina, CA. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. CITRUS MEDICAL IMAGING ASSOCIATES, INC. NPI is 1992801211. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1000 LAKES DR
SUITE 170
WEST COVINA, CA
ZIP 91790
Phone: (626) 869-0293
Fax: (626) 869-0310

The provider's authorized official is Ivan W Rosen .
The authorized official title is Managing Partner and has the following contact phone number (626) 814-2460.

The enumeration date for this NPI number is 9/15/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging	C24928	CALIFORNIA	Yes
2	2085N0904X	Radiology	Nuclear Radiology	C24928	CALIFORNIA	X
3	2085R0202X	Radiology	Diagnostic Radiology	C24928	CALIFORNIA	X

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	ZZZ75960Z	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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