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SIMI VALLEY MEDICAL IMAGING LLC NPI 1285692970


NPI Information

NPI: 1285692970
Provider Name: SIMI VALLEY MEDICAL IMAGING, LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1687 ERRINGER RD
SUITE 210
SIMI VALLEY, CA
ZIP 93065
Phone: (805) 527-4674
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SIMI VALLEY MEDICAL IMAGING, LLC is a diagnostic radiology radiology in Simi Valley, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SIMI VALLEY MEDICAL IMAGING, LLC NPI is 1285692970. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1687 ERRINGER RD
SUITE 210
SIMI VALLEY, CA
ZIP 93065-508
Phone: (805) 527-4674
Fax: (805) 527-4675

The provider's authorized official is Nick V Dimartino .
The authorized official title is Cfo & Executive Vp and has the following contact phone number (425) 637-2991.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 10/30/2007.


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
1TP132MEDICARE PINCALIFORNIA
2GR0056261MEDICAIDCALIFORNIA

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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