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General NPI Number Information
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NPI Number | 1821234899
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Entity Type | Organization
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Legal Business Name | CALIFORNIA MEDICAL IMAGING ASSOCIATES, INC
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Dates
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Enumeration Date | 12/23/2008
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Last Update Date | 02/26/2021
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Provider Practice Location Address
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Address Line | 3610 W PACKWOOD AVE
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City | VISALIA
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State | CA
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Zip | 93277-5010
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Country | US
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Telephone | 559-713-6050
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Fax | 559-713-6321
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Provider Business Mailing Address
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Address Line | 2527 CRANBERRY HWY
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City | WAREHAM
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State | MA
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Zip | 02571-1046
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Country | US
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Telephone | 800-841-5200
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Fax | 508-273-1241
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JESSE MONIZ
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Credential | CPPM
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Telephone | 800-841-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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