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PROHEALTH ADVANCED IMAGING MEDICAL GROUP INC. NPI 1003874702


NPI Information

NPI: 1003874702
Provider Name: PROHEALTH ADVANCED IMAGING MEDICAL GROUP, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
10767 RIVERSIDE DR
NORTH HOLLYWOOD, CA
ZIP 91602
Phone: (818) 301-6700
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PROHEALTH ADVANCED IMAGING MEDICAL GROUP, INC. is a diagnostic radiology radiology in North Hollywood, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PROHEALTH ADVANCED IMAGING MEDICAL GROUP, INC. NPI is 1003874702. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10767 RIVERSIDE DR
NORTH HOLLYWOOD, CA
ZIP 91602-324
Phone: (818) 301-6700
Fax: (818) 301-6701

The provider's authorized official is Payam Kashfian .
The authorized official title is President and has the following contact phone number (818) 301-6700.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 3/27/2012.


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
12085R0202XRadiologyDiagnostic RadiologyYes

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
1ZZZ66550ZOTHERCALIFORNIABLUE SHIELD OF CALIFORNIA
2W19674MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE PROVIDER NUMBER

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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