MEDICARE: WEST COAST MEDICAL IMAGING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0200X	Radiology Clinic/Center	G15252	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386611770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST COAST MEDICAL IMAGING

Provider Business Mailing Address
First Line	:	2010 WILSHIRE BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-3598
Country	:	US
Telephone Number	:	213-483-5953
Fax Number	:	213-484-2984

Provider Business Practice Location Address
First Line	:	2010 WILSHIRE BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-3507
Country	:	US
Telephone Number	:	213-483-5953
Fax Number	:	213-484-2984

Authorized Official
Title or Position	:	OWNER/RADIOLOGIST
Name	:	DR. STEWART ALLEN LAPIN
Credential	:	M.D.
Telephone Number	:	213-483-5953

Provider Enumeration Date	:	03/03/2006
Last Update Date	:	08/22/2020

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Practice Location Address:

2010 WILSHIRE BLVD , SUITE 504
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1386652600 — DR. GRACIA CONTAOI LEWIS M.D
Practice Location Address:

2010 WILSHIRE BLVD , 2ND FLOOR
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1730282286 — WALTER JAYASINGHE MD APAC
Practice Location Address:

2010 WILSHIRE BLVD , SECOND FLOOR
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90057-3507

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1306940846 — DR. STEVEN MARK GITLIN MD
Practice Location Address:

2010 WILSHIRE BLVD , SUITE #506
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1902990278 — NOUBARS EL ADOBE PHARMACY INC
Practice Location Address:

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1033282827 — BHARAT J PATEL MD
Practice Location Address:

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Directions to “WEST COAST MEDICAL IMAGING ” Practice Location

Language	Start Address	Practice Location

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