MOLECULAR IMAGING MANAGEMENT LLC. NPI 1306892195

NPI Information

NPI: 1306892195
Provider Name: MOLECULAR IMAGING MANAGEMENT LLC.

Doing Business As: WESTSIDE DIAGNOSTIC AND THERAPEUTIC MEDICAL CENTER LL. & EASTSIDE DIAG

Classification: Nuclear Medicine - 207UN0902X
Entity Type: Organization

Specialization: Nuclear Imaging & Therapy

Address:
12524 W WASHINGTON BLVD
12524 W. WASHINGTON BLVD
LOS ANGELES, CA
ZIP 90066
Phone: (310) 313-5287
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MOLECULAR IMAGING MANAGEMENT LLC. is a nuclear imaging and therapy nuclear medicine in Los Angeles, CA. The provider is a nuclear medicine physician who specializes in nuclear imaging and therapy. MOLECULAR IMAGING MANAGEMENT LLC. NPI is 1306892195. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Westside Diagnostic And Therapeutic Medical Center Ll. & Eastside Diag.

The provider's business location address is:

12524 W WASHINGTON BLVD
12524 W. WASHINGTON BLVD
LOS ANGELES, CA
ZIP 90066-506
Phone: (310) 313-5287
Fax: (310) 915-7246

The provider's authorized official is George Amin .
The authorized official title is Ceo and has the following contact phone number (310) 313-5287.

The enumeration date for this NPI number is 5/25/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207UN0902X	Nuclear Medicine	Nuclear Imaging & Therapy			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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