CENTRELAKE MEDICAL GROUP INC NPI 1790494128

NPI Information

  • NPI: 1790494128
  • Provider Name: CENTRELAKE MEDICAL GROUP INC
  • Classification: Clinic/Center - 261QM1200X
  • Specialization: Magnetic Resonance Imaging (MRI)
  • Entity Type: Organization
  • Doing Business As: WESTWOOD OPEN MRI
  • Address: 10921 WILSHIRE BLVD
    MEZZANINE LEVEL
    LOS ANGELES, CA
    ZIP 90024
  • Phone: (310) 208-3100

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NPI Details

CENTRELAKE MEDICAL GROUP INC is a magnetic resonance imaging (mri) clinic center in Los Angeles, CA. CENTRELAKE MEDICAL GROUP INC NPI is 1790494128. The provider is registered as an organization entity type.
The provider Is Doing Business As Westwood Open Mri.

The provider's business location address is:

10921 WILSHIRE BLVD
MEZZANINE LEVEL
LOS ANGELES, CA
ZIP 90024-906
Phone: (310) 208-3100
Fax: (310) 208-3101

The provider's authorized official is Nishant Niroola .
The authorized official title is Center Operations Director and has the following contact phone number (909) 242-7300.

The enumeration date for this NPI number is 11/15/2022 and was last updated on 5/15/2023.

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
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)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: 11/21/2025

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