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DOWNEY BREAST DIAGNOSTIC CLINIC INC NPI 1639359771


NPI Information

NPI: 1639359771
Provider Name: DOWNEY BREAST DIAGNOSTIC CLINIC INC

Doing Business As: DOWNEY BREAST DIAGNOSTIC CLINIC INC.

Classification: Radiologic Technologist - 2471M2300X
Entity Type: Organization

Specialization: Mammography

Address:
8301 FLORENCE AVE
101
DOWNEY, CA
ZIP 90240
Phone: (562) 862-2778
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DOWNEY BREAST DIAGNOSTIC CLINIC INC is a mammography radiologic technologist in Downey, CA. DOWNEY BREAST DIAGNOSTIC CLINIC INC NPI is 1639359771. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Downey Breast Diagnostic Clinic Inc..

The provider's business location address is:

8301 FLORENCE AVE
101
DOWNEY, CA
ZIP 90240-936
Phone: (562) 862-2778
Fax: (562) 862-7649

The provider's authorized official is Zareen Faiz .
The authorized official title is Ceo and has the following contact phone number (562) 862-2778.

The enumeration date for this NPI number is 11/6/2007 and was last updated on 6/30/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12471M2300XRadiologic TechnologistMammographyA37287CALIFORNIAYes

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
1GR0077220MEDICAIDCALIFORNIA
2A37287OTHERCALIFORNIALICENCE NUMBER
3W10161MEDICARE PINCALIFORNIA
400A372871MEDICAIDCALIFORNIA

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: 11/14/2023

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