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1376055152 NPI number — PLAZA MEDICAL IMAGING

NPI Number: 1376055152
Health Care Provider/Practitioner: PLAZA MEDICAL IMAGING

Information about “1376055152” NPI (PLAZA MEDICAL IMAGING) exists in 1376055152 in HTML format HTML  |  1376055152 in plain Text format TXT  |  1376055152 in PDF (Portable Document Format) PDF  |  1376055152 in an XML format XML  formats.

NPI Number : 1376055152 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376055152",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PLAZA MEDICAL IMAGING",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3731 S PLAZA DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SANTA ANA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92704-7463",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "714-918-0478",
    "MailingAddressFaxNumber": "714-918-0470",
    "FirstLinePracticeLocationAddress": "3731 S PLAZA DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTA ANA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92704-7463",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "714-918-0478",
    "PracticeLocationAddressFaxNumber": "714-918-0470",
    "EnumerationDate": "11/01/2017",
    "LastUpdateDate": "11/01/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WOOTTON",
    "AuthorizedOfficialFirstName": "PAUL",
    "AuthorizedOfficialMiddleName": "MARK",
    "AuthorizedOfficialTitle": "DIRECTOR OF OPERATIONS",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "714-918-0478",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QR0200X",
        "TaxonomyName": "Radiology Clinic/Center",
        "LicenseNumber": "FAC00063463",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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