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General NPI Number Information
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NPI Number | 1083794127
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Entity Type | Organization
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Legal Business Name | CALIFORNNIA IMAGING ASSOCIATES II,INC.
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10681 FOOTHILL BLVD #140
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3857
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Country | US
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Telephone | 909-758-9350
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Fax | 909-758-9120
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Provider Business Mailing Address
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Address Line | 1509 W CAMERON AVE SUITE D100
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City | WEST COVINA
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State | CA
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Zip | 91790-2725
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Country | US
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Telephone | 626-962-3525
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Fax | 626-962-0032
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. BHARATH KUMAR
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Credential | M.D.
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Telephone | 626-962-3525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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