Healthcare Provider Details

I. General information

NPI: 1528299989
Provider Name (Legal Business Name): FOCUS MEDICAL IMAGING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2009
Last Update Date: 06/29/2022
Certification Date: 06/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 S HELIOTROPE AVE
MONROVIA CA
91016-2914
US

IV. Provider business mailing address

PO BOX 743067
LOS ANGELES CA
90074-3067
US

V. Phone/Fax

Practice location:
  • Phone: 626-408-9800
  • Fax: 800-656-0593
Mailing address:
  • Phone: 877-406-2916
  • Fax: 800-656-0593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA77053
License Number StateCA

VIII. Authorized Official

Name: DR. JAMES LIN
Title or Position: MD/PRESIDENT
Credential: MD
Phone: 626-593-9393