MEDICARE: MEDICAL IMAGING ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085U0001X	Diagnostic Ultrasound Physician	C32168	CA
2	2085R0202X	Diagnostic Radiology Physician	C32168	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952345290
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL IMAGING ASSOCIATES

Provider Business Mailing Address
First Line	:	9033 WILSHIRE BLVD
Second Line	:	305
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-1837
Country	:	US
Telephone Number	:	310-278-0656
Fax Number	:	310-278-7716

Provider Business Practice Location Address
First Line	:	9033 WILSHIRE BLVD
Second Line	:	305
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-1837
Country	:	US
Telephone Number	:	310-278-0656
Fax Number	:	310-278-7716

Authorized Official
Title or Position	:	OWNER
Name	:	JAMES HOWARD PRITCHARD
Credential	:	M.D.
Telephone Number	:	310-278-0656

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	06/17/2008

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1396797809 — DR. MATTHEW JOSEPH ENNA M.D.
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1972600344 — DR. GREGG K NISHI M.D.
Practice Location Address:

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Directions to “MEDICAL IMAGING ASSOCIATES ” Practice Location

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