institution
Medical Imaging Center Of Southern California
Diagnostic Radiology Physician in Santa Monica, California
NPI 1700907433

Medical Imaging Center Of Southern California is a Diagnostic Radiology Physician based in Santa Monica, CA and is specialized in Diagnostic Radiology. Medical Imaging Center Of Southern California practices in Santa Monica, CA. The NPI Number for Medical Imaging Center Of Southern California is 1700907433 and holds a License No. W13479 (California).

The current practice location address for Medical Imaging Center Of Southern California is 2827 Wilshire Blvd, Santa Monica, CA and can be reached out via phone at 310-829-9788 and via fax at 310-453-1576.

Location: 2827 Wilshire Blvd, Santa Monica, CA, 90403-4801
institution
Provider Profile Details
NPI Number
1700907433
Provider Name
Medical Imaging Center Of Southern California
Credential
Provider Entity Type
Organization
Address
2827 Wilshire Blvd, Santa Monica, CA, 90403-4801
Phone Number
310-829-9788
Fax Number
310-453-1576
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
123448 01 CA MAMMOGRAPHY CERTIFICATION
ZZZ15575Z 01 CA BLUE SHIELD OF CA
institution
Provider Business Practice Location Address Details
Address
2827 Wilshire Blvd
City
State
Zip
90403-4801
Phone Number
310-829-9788
Fax Number
310-453-1576
person
Provider Business Mailing Address Details
Address
2827 Wilshire Blvd
City
State
Zip
90403-4801
Phone Number
310-829-9788
Fax Number
310-453-1576
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
W13479 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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