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General NPI Number Information
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NPI Number | 1881966778
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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 | 02/07/2012
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Last Update Date | 02/26/2021
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Provider Practice Location Address
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Address Line | 462 W PUTNAM AVE
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City | PORTERVILLE
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State | CA
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Zip | 93257-3321
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Country | US
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Telephone | 209-577-9900
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Fax | 209-577-9900
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Provider Business Mailing 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 |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JESSE MONIZ
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Credential |
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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 | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State | CA
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Taxonomy #2
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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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