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General NPI Number Information
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NPI Number | 1124818406
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Entity Type | Organization
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Legal Business Name | ARTERIAL INTERVENTIONAL CENTERS, INC.
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 201 W GARVEY AVE STE 102-502
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City | MONTEREY PARK
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State | CA
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Zip | 91754-7418
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Country | US
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Telephone | 909-574-4686
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Fax |
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Provider Business Mailing Address
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Address Line | 201 W GARVEY AVE STE 102-502
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City | MONTEREY PARK
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State | CA
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Zip | 91754-7418
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Country | US
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Telephone | 909-574-4686
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VICTOR SHI
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Credential | MD
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Telephone | 909-684-4404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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