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General NPI Number Information
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NPI Number | 1386611770
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Entity Type | Organization
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Legal Business Name | WEST COAST MEDICAL IMAGING
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Dates
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Enumeration Date | 03/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2010 WILSHIRE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90057-3507
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Country | US
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Telephone | 213-483-5953
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Fax | 213-484-2984
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Provider Business Mailing Address
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Address Line | 2010 WILSHIRE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90057-3598
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Country | US
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Telephone | 213-483-5953
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Fax | 213-484-2984
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Authorized Official
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Title or Position | OWNER/RADIOLOGIST
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Name | DR. STEWART ALLEN LAPIN
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Credential | M.D.
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Telephone | 213-483-5953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | G15252
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License Number State | CA
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