SO CAL IMAGING LLC NPI 1861962185

NPI Information

  • NPI: 1861962185
  • Provider Name: SO CAL IMAGING LLC
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Address: 2075 HATHAWAY AVE
    WESTLAKE VILLAGE, CA
    ZIP 91362
  • Phone: (818) 312-4555

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NPI Details

SO CAL IMAGING LLC is a point of service in Westlake Village, CA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. SO CAL IMAGING LLC NPI is 1861962185. The provider is registered as an organization entity type.

The provider's business location address is:

2075 HATHAWAY AVE
WESTLAKE VILLAGE, CA
ZIP 91362-171
Phone: (818) 312-4555

The provider's authorized official is Mark Kappico .
The authorized official title is Member and has the following contact phone number (805) 241-0742.

The enumeration date for this NPI number is 11/29/2018 and was last updated on 11/29/2018.

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
1251X00000XSupports BrokerageNo
2305S00000XPoint of ServiceYes

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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