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General NPI Number Information
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NPI Number | 1992173066
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Entity Type | Organization
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Legal Business Name | MEDICAL ASSOCIATES IN ADVANCED IMAGING INC
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Dates
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Enumeration Date | 09/08/2015
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Last Update Date | 10/18/2015
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Provider Practice Location Address
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Address Line | 27206 CALAROGA AVE SUITE 214
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City | HAYWARD
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State | CA
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Zip | 94545-4300
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Country | US
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Telephone | 510-264-4072
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Fax |
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Provider Business Mailing Address
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Address Line | 27206 CALAROGA AVE SUITE 205
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City | HAYWARD
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State | CA
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Zip | 94545-4300
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Country | US
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Telephone | 510-670-1111
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Fax | 510-670-4772
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Authorized Official
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Title or Position | CEO
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Name | DR. ADITYA JAIN
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Credential | M.D.
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Telephone | 510-670-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0206X
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Taxonomy Name | Mammography Clinic/Center
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License Number |
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License Number State | CA
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