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HORNBUCKLE INC. NPI 1104867803


NPI Information

NPI: 1104867803
Provider Name: HORNBUCKLE, INC.

Doing Business As: CALIFORNIA COMMUNITY DIAGNOSTIC IMAGING

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1009 ABBOT KINNEY BLVD
2ND FLOOR
VENICE, CA
ZIP 90291
Phone: (310) 558-1530
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HORNBUCKLE, INC. is a specialist in Venice, 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. HORNBUCKLE, INC. NPI is 1104867803. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As California Community Diagnostic Imaging.

The provider's business location address is:

1009 ABBOT KINNEY BLVD
2ND FLOOR
VENICE, CA
ZIP 90291-372
Phone: (310) 558-1530
Fax: (310) 526-7775

The provider's authorized official is John Scott Hornbuckle .
The authorized official title is President, Ceo and has the following contact phone number (310) 558-1530.

The enumeration date for this NPI number is 6/10/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistG30731CALIFORNIAYes

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

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