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General NPI Number Information
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NPI Number | 1154763407
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH IMAGING CENTERS
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Dates
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Enumeration Date | 07/26/2013
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 4060 FAIRMOUNT AVE
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City | SAN DIEGO
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State | CA
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Zip | 92105-1608
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Country | US
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Telephone | 619-997-4859
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Fax | 619-342-1698
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Provider Business Mailing Address
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Address Line | 4060 FAIRMOUNT AVE
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City | SAN DIEGO
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State | CA
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Zip | 92105-1608
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Country | US
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Telephone | 619-997-4859
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Fax | 619-342-1698
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MR. ZARA MARSELIAN
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Credential |
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Telephone | 619-584-1612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0206X
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Taxonomy Name | Mammography Clinic/Center
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License Number | 81412111187
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License Number State | CA
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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 | 239408
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License Number State | CA
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