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General NPI Number Information
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NPI Number | 1881646909
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Entity Type | Organization
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Legal Business Name | CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES INC
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 1101 VAN NESS AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-6919
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Country | US
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Telephone | 415-600-6000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6102
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City | NOVATO
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State | CA
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Zip | 94948-6102
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Country | US
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Telephone | 415-884-3404
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AVANTI AMBEKAR
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Credential | MD
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Telephone | 415-308-4890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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