MEDNIK MEDICAL CORPORATION NPI 1174740880

NPI Information

NPI: 1174740880
Provider Name: MEDNIK MEDICAL CORPORATION
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
8501 WILSHIRE BLVD
STE 250
BEVERLY HILLS, CA
ZIP 90211
Phone: (310) 492-0613
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MEDNIK MEDICAL CORPORATION is a radiology clinic center in Beverly Hills, CA. MEDNIK MEDICAL CORPORATION NPI is 1174740880. The provider is registered as an organization entity type.

The provider's business location address is:

8501 WILSHIRE BLVD
STE 250
BEVERLY HILLS, CA
ZIP 90211-101
Phone: (310) 492-0613
Fax: (310) 289-0372

The provider's authorized official is George Mednik .
The authorized official title is President and has the following contact phone number (310) 492-0613.

The enumeration date for this NPI number is 4/20/2007 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	261QR0200X	Clinic/Center	Radiology	A52346	CALIFORNIA	Yes
2	261QR0208X	Clinic/Center	Radiology, Mobile	A52346	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	00A523461	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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