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BEVERLY RADIOLOGY MEDICAL GROUP NPI 1184981409


NPI Information

NPI: 1184981409
Provider Name: BEVERLY RADIOLOGY MEDICAL GROUP

Doing Business As: LA MIRADA IMAGING

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
15651 IMPERIAL HWY
SUITE 103
LA MIRADA, CA
ZIP 90638
Phone: (562) 947-3870
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BEVERLY RADIOLOGY MEDICAL GROUP is a diagnostic radiology radiology in La Mirada, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BEVERLY RADIOLOGY MEDICAL GROUP NPI is 1184981409. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As La Mirada Imaging.

The provider's business location address is:

15651 IMPERIAL HWY
SUITE 103
LA MIRADA, CA
ZIP 90638-628
Phone: (562) 947-3870

The provider's authorized official is Howard G. Berger .
The authorized official title is Ceo & President and has the following contact phone number (310) 445-4800.

The enumeration date for this NPI number is 4/12/2012 and was last updated on 4/12/2012.


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
12085R0202XRadiologyDiagnostic RadiologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W16629MEDICARE 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: 4/28/2024

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