COMMUNITY HEALTH IMAGING CENTERS NPI 1154763407

NPI Information

NPI: 1154763407
Provider Name: COMMUNITY HEALTH IMAGING CENTERS
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
4060 FAIRMOUNT AVE
SAN DIEGO, CA
ZIP 92105
Phone: (619) 997-4859
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COMMUNITY HEALTH IMAGING CENTERS is a radiology clinic center in San Diego, CA. COMMUNITY HEALTH IMAGING CENTERS NPI is 1154763407. The provider is registered as an organization entity type.

The provider's business location address is:

4060 FAIRMOUNT AVE
SAN DIEGO, CA
ZIP 92105-608
Phone: (619) 997-4859
Fax: (619) 342-1698

The provider's authorized official is John Lethin .
The authorized official title is Executive Director and has the following contact phone number (619) 997-4859.

The enumeration date for this NPI number is 7/26/2013 and was last updated on 7/12/2016.

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	261QR0206X	Clinic/Center	Radiology, Mammography	81412111187	CALIFORNIA	No
2	261QR0200X	Clinic/Center	Radiology	239408	CALIFORNIA	Yes

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	CB248047	OTHER	CALIFORNIA	MEDICARE
2	=========	MEDICAID	CALIFORNIA
3	1154763407	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

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