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RADIOLOGY MEDICAL GROUP OF WMMC NPI 1831123868


NPI Information

NPI: 1831123868
Provider Name: RADIOLOGY MEDICAL GROUP OF WMMC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA
ZIP 90033
Phone: (626) 795-1610
Get Directions

RADIOLOGY MEDICAL GROUP OF WMMC is a diagnostic radiology radiology in Los Angeles, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RADIOLOGY MEDICAL GROUP OF WMMC NPI is 1831123868. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA
ZIP 90033-414
Phone: (626) 795-1610
Fax: (626) 795-0751

The provider's authorized official is Antoine G Nahas .
The authorized official title is Business Manager and has the following contact phone number (626) 795-1610.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 11/16/2007.


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
12085B0100XRadiologyBody ImagingNo
22085N0700XRadiologyNeuroradiologyNo
32085N0904XRadiologyNuclear RadiologyNo
42085P0229XRadiologyPediatric RadiologyNo
52085R0204XRadiologyVascular & Interventional RadiologyNo
62085U0001XRadiologyDiagnostic UltrasoundNo
72085R0202XRadiologyDiagnostic 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
1HW7893BMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMCR GRP PROVIDER NO

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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