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General NPI Number Information
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NPI Number | 1811342439
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Entity Type | Organization
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Legal Business Name | CALIFORNIA MEDICAL IMAGING CORP.
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 08/18/2020
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Provider Practice Location Address
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Address Line | 5757 WILSHIRE BLVD STE 100
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City | LOS ANGELES
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State | CA
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Zip | 90036-3686
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Country | US
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Telephone | 323-648-0500
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Fax | 323-648-0508
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Provider Business Mailing Address
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Address Line | 5757 WILSHIRE BLVD STE 100
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City | LOS ANGELES
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State | CA
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Zip | 90036-3686
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Country | US
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Telephone | 323-648-0500
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Fax | 323-648-0508
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Authorized Official
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Title or Position | CEO
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Name | SAMMY CILING
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Credential |
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Telephone | 323-648-0500
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number |
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License Number State |
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