MONTEREY WOMEN'S IMAGING INC. NPI 1184161580

NPI Information

NPI: 1184161580
Provider Name: MONTEREY WOMEN'S IMAGING, INC.
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

CLIA Number: 05D0861895

Address:
401 N GARFIELD AVE
SUITE 203
MONTEREY PARK, CA
ZIP 91754
Phone: (310) 736-4395
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MONTEREY WOMEN'S IMAGING, INC. is a radiology clinic center in Monterey Park, CA. MONTEREY WOMEN'S IMAGING, INC. NPI is 1184161580. The provider is registered as an organization entity type.

The provider's business location address is:

401 N GARFIELD AVE
SUITE 203
MONTEREY PARK, CA
ZIP 91754-201
Phone: (310) 736-4395
Fax: (310) 822-1808

The provider's authorized official is Robert Petzold .
The authorized official title is Manager and has the following contact phone number (310) 736-4395.

The CLIA number assigned to this NPI record is 05D0861895 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2017 and was last updated on 1/23/2017.

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			Yes

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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