MOLECULAR IMAGING MANAGEMENT LLC.


Address: 12524 W Washington Blvd, 12524 W. Washington Blvd, Los Angeles, CA 90066-5506
Phone: 3103135287

MOLECULAR IMAGING MANAGEMENT LLC. (NPI# 1306892195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306892195
Entity Type Organization
Organization Name MOLECULAR IMAGING MANAGEMENT LLC.
Other Organization Name WESTSIDE DIAGNOSTIC AND THERAPEUTIC MEDICAL CENTER LL. & EASTSIDE DIAG
Practice Address 12524 W Washington Blvd
12524 W. Washington Blvd
Los Angeles
CA 90066-5506
Practice Telephone 3103135287
Practice Fax Number 3109157246
Mailing Telephone 3103135287
Mailing Fax Number 3109157246
Enumeration Date 2006-05-25
Last Update Date 2020-08-22
Authorized Official Name MR. GEORGE AMIN (CEO)
Authorized Official Telephone 3103135287
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207UN0902X Nuclear Medicine
Specialization: Nuclear Imaging & Therapy
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Westside Diagnostic and Therapeutic Medical Center LL. & Eastside Diag Doing Business As Name - Organization

Office Location

Street Address 12524 W WASHINGTON BLVD
12524 W. WASHINGTON BLVD
City LOS ANGELES
State CA
Zip Code 90066-5506

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NPI Name Taxonomy Address Enumeration
1124210893 Arthur W Peck Dentist 12524 W Washington Blvd, Los Angeles, CA 90066-5506 2007-08-15

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Taxonomy Information

Taxonomy Code 207UN0902X
Grouping Allopathic & Osteopathic Physicians
Classification Nuclear Medicine
Specialization Nuclear Imaging & Therapy

Taxonomy Definition

A nuclear medicine physician who specializes in nuclear imaging and therapy.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316061674 Ali Abaian Nuclear Medicine 8460 S Central Ave, Los Angeles, CA 90001-3761 2007-03-19
1053927079 Jeremie Calais Nuclear Medicine 200 Medical Plaza Suite B114, Los Angeles, CA 90095-0001 2020-09-16
1538307780 Aaron Lichtman Nuclear Medicine 11301 Wilshire Blvd, 115 Nuclear Medicine, Los Angeles, CA 90073-1003 2009-01-27
1841456019 Angeles Clinic and Research Institute Inc Nuclear Medicine 11818 Wilshire Blvd, Suite 200, Los Angeles, CA 90025-6646 2008-08-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992130439 Thomas Francis Budinger Nuclear Medicine 966 Euclid Ave, Berkeley, CA 94708-1436 2013-09-03
1891063020 Zaman Javaheri Nuclear Medicine 14561 Curry Ct, Auburn, CA 95602-8488 2011-12-02
1750680302 Nova M Isaac Nuclear Medicine 300 Pasteur Dr Rm H2200, Stanford, CA 94305-5281 2011-03-22
1578731808 Hemet Kherbache Nuclear Medicine 557 E Cypress Ave Apt G, Burbank, CA 91501-3201 2008-02-20
1316124662 Maria Rita Guevara Nuclear Medicine 12253 Dehougne St, North Hollywood, CA 91605-5611 2008-01-29
1003938473 West Coast Radiology Center, Inc Nuclear Medicine 1100-a N. Tustin Avenue, Santa Ana, CA 92705 2007-04-04
1194825703 David J. Rossman Nuclear Medicine 5395 Ruffin Rd Ste 202, San Diego, CA 92123-1338 2006-09-24
1568478436 Brian Keith Gamble Nuclear Medicine 10701 Riverside Dr, Suite 16, Toluca Lake, CA 91602-2384 2006-07-31
1467438911 Nabil Amin Yassa Nuclear Medicine 343 Pioneer Dr Unit 1602e, Glendale, CA 91203-2776 2005-12-16
1568451649 Walter H. Kim Nuclear Medicine 1532 State St. 2nd Floor, Santa Barbara, CA 93101 2005-10-20
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Competitor

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City LOS ANGELES
Zip Code 90066

Improve Information

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Dataset Information

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.

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