WESTERN IMAGING MARINA DEL REY INC NPI 1427593805

NPI Information

NPI: 1427593805
Provider Name: WESTERN IMAGING MARINA DEL REY INC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
4640 ADMIRALTY WAY
SUITE 102
MARINA DEL REY, CA
ZIP 90292
Phone: (310) 736-4395
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WESTERN IMAGING MARINA DEL REY INC is a radiology clinic center in Marina Del Rey, CA. WESTERN IMAGING MARINA DEL REY INC NPI is 1427593805. The provider is registered as an organization entity type.

The provider's business location address is:

4640 ADMIRALTY WAY
SUITE 102
MARINA DEL REY, CA
ZIP 90292-621
Phone: (310) 736-4395

The provider's authorized official is Rob Petzold .
The authorized official title is Director Of Operations and has the following contact phone number (310) 736-4395.

The enumeration date for this NPI number is 12/21/2016 and was last updated on 12/21/2016.

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	261QR0200X	Clinic/Center	Radiology			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: 5/5/2024

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