Healthcare Provider Details

I. General information

NPI: 1881826204
Provider Name (Legal Business Name): TRUE PROFESSIONAL IMAGING CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2009
Last Update Date: 08/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 HOSPITAL CIR
WESTMINSTER CA
92683-3953
US

IV. Provider business mailing address

250 HOSPITAL CIR
WESTMINSTER CA
92683-3953
US

V. Phone/Fax

Practice location:
  • Phone: 714-899-3498
  • Fax: 714-899-3493
Mailing address:
  • Phone: 714-899-3498
  • Fax: 714-899-3493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2471M1202X
TaxonomyMagnetic Resonance Imaging Radiologic Technologist
License NumberG47581
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code247100000X
TaxonomyRadiologic Technologist
License NumberG47581
License Number StateCA

VIII. Authorized Official

Name: STANTON STEVEN KREMSKY
Title or Position: RADIOLOGIST/ PRESIDENT
Credential: M.D
Phone: 714-899-8934