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MINK RADIOLOGIC IMAGING MEDICAL ASSOCIATES INC. NPI 1265485015


NPI Information

NPI: 1265485015
Provider Name: MINK RADIOLOGIC IMAGING MEDICAL ASSOCIATES, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
8670 WILSHIRE BLVD STE 101
SUITE 101
BEVERLY HILLS, CA
ZIP 90211
Phone: (310) 358-2100
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MINK RADIOLOGIC IMAGING MEDICAL ASSOCIATES, INC. is a diagnostic radiology radiology in Beverly Hills, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MINK RADIOLOGIC IMAGING MEDICAL ASSOCIATES, INC. NPI is 1265485015. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8670 WILSHIRE BLVD STE 101
SUITE 101
BEVERLY HILLS, CA
ZIP 90211-930
Phone: (310) 358-2100

The provider's authorized official is Jerrold Mink .
The authorized official title is Medical Director and has the following contact phone number (310) 358-2100.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 10/8/2013.


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
1DA6633OTHERRAILROAD MEDICARE
2W16124AMEDICARE ID-TYPE UNSPECIFIED
3ZZZ06391ZOTHERBLUE SHIELD
4W16124MEDICARE ID-TYPE UNSPECIFIED
5ZZZ66023ZOTHERBLUE SHIELD
6ZZZ77048ZOTHERBLUE SHIELD

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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