CALIFORNIA VALLEY IMAGING CENTER, INC.


Address: 19231 Victory Blvd, Suite 102, Reseda, CA 91335-6308
Phone: 3232939000

CALIFORNIA VALLEY IMAGING CENTER, INC. (NPI# 1518275676) 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) 1518275676
Entity Type Organization
Organization Name CALIFORNIA VALLEY IMAGING CENTER, INC.
Other Organization Name LOS ANGELES IMAGING CENTER
Practice Address 19231 Victory Blvd
Suite 102
Reseda
CA 91335-6308
Practice Telephone 3232939000
Enumeration Date 2010-09-22
Last Update Date 2010-09-22
Authorized Official Name TRACY ROCHELLE MCDONALD (OWNER)
Authorized Official Telephone 3232939000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246Z00000X Specialist/Technologist, Other Technologists, Technicians & Other Technical Service Providers

Other Provider/Organization Names

Other Name Type Code
Los Angeles Imaging Center Doing Business As Name - Organization

Office Location

Street Address 19231 VICTORY BLVD
SUITE 102
City RESEDA
State CA
Zip Code 91335-6308

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NPI Name Taxonomy Address Enumeration
1104821859 Gregg A Louk Dentist 19231 Victory Blvd, Ste 250, Reseda, CA 91335-6340 2005-06-18
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1972900850 Marjan Sadeghi Acupuncturist 19231 Victory Blvd, Suite 350, Reseda, CA 91335-6308 2014-11-20
1386061893 Milton L. Payne Incorporated Chiropractor 19231 Victory Blvd, Suite 557, Reseda, CA 91335-6308 2014-03-21
1508282401 Pacific Imaging Enterprises, Inc. Clinic/Center 19231 Victory Blvd, Suite 153, Reseda, CA 91335-6308 2014-03-15
1881933562 Jason Song Acupuncture & Herbs, Inc. Acupuncturist 19231 Victory Blvd, Suite 211, Reseda, CA 91335-6308 2013-01-31
1346599859 Maryam Monjezi Acupuncturist 19231 Victory Blvd, Ste 350, Reseda, CA 91335-6308 2012-08-30
1780948604 Svetlana Mironova Acupuncturist 19231 Victory Blvd, Suite 350, Reseda, CA 91335-6308 2012-06-26
1407117195 Roya Rahimzadeh Moghadam Chiropractor 19231 Victory Blvd, Suite 356, Reseda, CA 91335-6308 2012-05-30
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Taxonomy Information

Taxonomy Code 246Z00000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other

Taxonomy Definition

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

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1720632045 Amanda M Vanderford Specialist/Technologist, Other 6150 Tule Lane, Foresthill, CA 95631 2019-07-25
1730655408 Linda Adkins Specialist/Technologist, Other 515 W 6th St Fl 9, Los Angeles, CA 90014-1201 2018-10-19
1346741576 Yasmin Ali Specialist/Technologist, Other 41019 Woodshire Dr, Palmdale, CA 93551-5746 2018-02-22
1669971164 Timothy Michael Dwyer Jr. Specialist/Technologist, Other 3225 S Townsend St, Santa Ana, CA 92704-6647 2018-02-09
1801305503 Judee H Carrico Specialist/Technologist, Other 2032 Thompson Ct Ste 12, Montrose, CA 91020-1652 2017-09-25
1033659388 Morgan Irene Gilfillan Specialist/Technologist, Other 1420 Hornblend St, Apt. 1, San Diego, CA 92109-4329 2017-03-06
1992245427 Jennifer Mcevoy Specialist/Technologist, Other 355 1st St Unit S805, San Francisco, CA 94105-3067 2017-03-02
1154781631 Harvey Sparks Specialist/Technologist, Other 350 Bon Air, Ste 100, Greenbrae, CA 94904 2016-02-26
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Competitor

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City RESEDA
Zip Code 91335

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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