LAKE ELSINORE DIAGNOSTICS NPI 1114219144

NPI Information

  • NPI: 1114219144
  • Provider Name: LAKE ELSINORE DIAGNOSTICS
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Address: 31569 CANYON ESTATES DR STE 120
    LAKE ELSINORE, CA
    ZIP 92532
  • Phone: (951) 245-3400

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NPI Details

LAKE ELSINORE DIAGNOSTICS is a radiology clinic center in Lake Elsinore, CA. LAKE ELSINORE DIAGNOSTICS NPI is 1114219144. The provider is registered as an organization entity type.

The provider's business location address is:

31569 CANYON ESTATES DR STE 120
LAKE ELSINORE, CA
ZIP 92532-470
Phone: (951) 245-3400

The provider's authorized official is Perla I Nunez .
The authorized official title is Manager and has the following contact phone number (951) 245-3400.

The enumeration date for this NPI number is 5/10/2011 and was last updated on 5/10/2011.

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
1261QR0200XClinic/CenterRadiologyA73716CALIFORNIAYes

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
1PENDINGMEDICARE 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: 3/30/2025

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