MEDIZEN ADVANCED IMAGING INC NPI 1841301231

NPI Information

NPI: 1841301231
Provider Name: MEDIZEN ADVANCED IMAGING INC

Former Legal Business Name: PREMIER HEALTHSCAN LLC

Classification: Radiology - 2085U0001X
Entity Type: Organization

Specialization: Diagnostic Ultrasound

Address:
17305 BROOKHURST ST
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 968-8998
Get Directions

MEDIZEN ADVANCED IMAGING INC is a diagnostic ultrasound radiology in Fountain Valley, CA. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. MEDIZEN ADVANCED IMAGING INC NPI is 1841301231. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Premier Healthscan Llc.

The provider's business location address is:

17305 BROOKHURST ST
FOUNTAIN VALLEY, CA
ZIP 92708-721
Phone: (714) 968-8998
Fax: (714) 968-8628

The provider's authorized official is David T Mai .
The authorized official title is Medical Director President and has the following contact phone number (714) 968-8998.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 1/8/2014.

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	2085B0100X	Radiology	Body Imaging			No
2	2085N0904X	Radiology	Nuclear Radiology			No
3	2085R0202X	Radiology	Diagnostic Radiology			No
4	2085U0001X	Radiology	Diagnostic Ultrasound	G63683	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	F11697	MEDICARE UPIN	CALIFORNIA
2	TP116	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
3	G636830	MEDICAID	CALIFORNIA

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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