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COAST RADIOLOGY AND MEDICAL IMAGING NPI 1861441628


NPI Information

NPI: 1861441628
Provider Name: COAST RADIOLOGY AND MEDICAL IMAGING

Doing Business As: COAST RADIOLOGY AND MEDICAL IMAGING MEDICAL GROUP

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1045 ATLANTIC AVE
SUITE 105
LONG BEACH, CA
ZIP 90813
Phone: (562) 437-3833
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COAST RADIOLOGY AND MEDICAL IMAGING is a specialist in Long Beach, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. COAST RADIOLOGY AND MEDICAL IMAGING NPI is 1861441628. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Coast Radiology And Medical Imaging Medical Group.

The provider's business location address is:

1045 ATLANTIC AVE
SUITE 105
LONG BEACH, CA
ZIP 90813-408
Phone: (562) 437-3833
Fax: (562) 624-0741

The provider's authorized official is Gregory T Valey .
The authorized official title is Partner and has the following contact phone number (562) 437-3833.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 6/24/2015.


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
1174400000XSpecialistYes

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
1HW8412AMEDICARE PINCALIFORNIA
2HW8412DMEDICARE PINCALIFORNIA
3HW8412MEDICARE PINCALIFORNIA
4HW8412BMEDICARE PINCALIFORNIA
5GR0017223MEDICAIDCALIFORNIA
6GR0017222MEDICAIDCALIFORNIA
7HW8412CMEDICARE PINCALIFORNIA

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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