Healthcare Provider Details

I. General information

NPI: 1427935188
Provider Name (Legal Business Name): ROJIAN B LIRA CRT, RDMS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2025
Last Update Date: 08/16/2025
Certification Date: 08/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 S IMPERIAL AVE
EL CENTRO CA
92243-4200
US

IV. Provider business mailing address

1144 ASH ST
BRAWLEY CA
92227-3489
US

V. Phone/Fax

Practice location:
  • Phone: 760-550-4309
  • Fax:
Mailing address:
  • Phone: 760-550-4309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number31029
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number31029
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: