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General NPI Number Information
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NPI Number | 1629091509
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Entity Type | Organization
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Legal Business Name | HEALTHPOINTE MEDICAL GROUP, INC,
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5722 BELLFLOWER BLVD
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City | LAKEWOOD
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State | CA
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Zip | 90713-1422
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Country | US
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Telephone | 562-920-8394
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Fax |
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Provider Business Mailing Address
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Address Line | 1717 E LINCOLN AVE
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City | ANAHEIM
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State | CA
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Zip | 92805-4345
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Country | US
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Telephone | 714-635-2642
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Fax | 714-635-8547
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ISMAEL SILVA JR.
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Credential | M.D.
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Telephone | 562-920-8394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471M1202X
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Taxonomy Name | Magnetic Resonance Imaging Radiologic Technologist
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License Number | G39172
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License Number State | CA
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