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IRAJ KHALKHALI M.D. INC. NPI 1275744559


NPI Information

NPI: 1275744559
Provider Name: IRAJ KHALKHALI, M.D., INC.

Doing Business As: WILLOW CENTER IMAGING

Classification: Clinic/Center - 261QR0207X
Entity Type: Organization

Specialization: Radiology, Mobile Mammography

Address:
500 W WILLOW ST STE 8
LONG BEACH, CA
ZIP 90806
Phone: (562) 424-9906
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IRAJ KHALKHALI, M.D., INC. is a radiology and mobile mammography clinic center in Long Beach, CA. IRAJ KHALKHALI, M.D., INC. NPI is 1275744559. The provider is registered as an organization entity type.
The provider Is Doing Business As Willow Center Imaging.

The provider's business location address is:

500 W WILLOW ST STE 8
LONG BEACH, CA
ZIP 90806-831
Phone: (562) 424-9906
Fax: (562) 427-9831

The provider's authorized official is Iraj Khalkhali .
The authorized official title is Medical Director Radiologist and has the following contact phone number (562) 424-9906.

The enumeration date for this NPI number is 5/25/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0207XClinic/CenterRadiology, Mobile Mammography44916CALIFORNIAYes

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
100A320230MEDICAIDCALIFORNIA

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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