IRAJ KHALKHALI, M.D., INC. (NPI# 1275744559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275744559 |
| Entity Type | Organization |
| Organization Name | IRAJ KHALKHALI, M.D., INC. |
| Other Organization Name | WILLOW CENTER IMAGING |
| Practice Address |
500 W Willow St Ste 8 Long Beach CA 90806-2831 |
| Practice Telephone | 5624249906 |
| Practice Fax Number | 5624279831 |
| Mailing Telephone | 5624249906 |
| Mailing Fax Number | 5624279831 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. IRAJ KHALKHALI (MEDICAL DIRECTOR RADIOLOGIST) |
| Authorized Official Telephone | 5624249906 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0207X |
Clinic/Center Specialization: Radiology, Mobile Mammography |
44916 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A320230 | 05 |
| Other Name | Type Code |
|---|---|
| Willow Center Imaging | Doing Business As Name - Organization |
| Street Address |
500 W WILLOW ST STE 8 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-2831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 261QR0207X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile Mammography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477012292 | Rj Imaging Inc | Clinic/Center | 6208 Seville Ave Ste I, Huntington Park, CA 90255-2913 | 2019-03-19 |
| 1124414123 | New Hope Healthcare LLC | Clinic/Center | 616 E Alvarado St, D, Fallbrook, CA 92028-2350 | 2015-04-07 |
| 1235300476 | Accu Scan Diagnostics, Inc. | Clinic/Center | 12737 Glenoaks Blvd Ste 26, Sylmar, CA 91342-4776 | 2008-03-16 |
| 1609252998 | F&m Radiology Medical Center Inc | Clinic/Center | 616 E Alvarado St, D, Fallbrook, CA 92028-2350 | 2015-08-10 |
| 1457654279 | Mobile Mammography Screening Inc | Clinic/Center | 15335 Morrison St, Suite 304, Sherman Oaks, CA 91403-1513 | 2010-12-16 |
| 1316266216 | Lawrence H. Resnick, M.d. A Prof Corp | Clinic/Center | 2901 Wilshire Blvd, Suite 319, Santa Monica, CA 90403-4901 | 2010-05-18 |
| City | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on IRAJ KHALKHALI, M.D., INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.