LOS ALAMITOS RADIOLOGY GROUP INC


Address: 3747 Worsham Ave Ste 200, Long Beach, CA 90808-1734
Phone: 5625966736

LOS ALAMITOS RADIOLOGY GROUP INC (NPI# 1689221103) 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) 1689221103
Entity Type Organization
Organization Name LOS ALAMITOS RADIOLOGY GROUP INC
Practice Address 3747 Worsham Ave Ste 200
Long Beach
CA 90808-1734
Mailing Address Po Box 650
Newbury Park
CA 91319-0650
Practice Telephone 5625966736
Enumeration Date 2019-08-20
Last Update Date 2019-08-20
Authorized Official Name DR. VINCENT POLEK (CEO/PRESIDENT)
Authorized Official Telephone 8053758823
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1861975203 Los Alamitos Radiology Group Inc Radiology 36589 Sculpture Point Drive, The Sea Ranch, CA 95497-0000 2018-09-12
1972080356 Los Alamitos Radiology Group Inc Radiology 3406 Kildare Ct, Burbank, CA 91504-1665 2018-07-27
1427005024 Los Alamitos Radiology Group Inc Radiology 3751 Katella Ave, Los Alamitos, CA 90720-3101 2006-05-28

Office Location

Street Address 3747 WORSHAM AVE STE 200
City LONG BEACH
State CA
Zip Code 90808-1734

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NPI Name Taxonomy Address Enumeration
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1942658604 Susan S Orr Physical Therapist 3833 Worsham Ave #301, Long Beach, CA 90808 2016-06-02
1447611298 Rac Brittany House Alzheimer Center (Dementia Center) 5641 Centralia Avenue, Long Beach, CA 90808 2016-03-08
1003234261 Ray Ira Apter Social Worker 4333 N. Greenbrier Road, Long Beach, CA 90808 2014-04-03
1043590649 Fonda Jiang Allergy & Immunology 3816 Woodruff Ave Ste 209, Long Beach, CA 90808 2011-08-26
1457640757 Alexander Cristian Gavrila Dentist 4200 Lakewood Blvd, Long Beach, CA 90808 2011-04-07
1851629034 Reyana Ewing Dietitian, Registered 4195 N Viking Way Ste D, Long Beach, CA 90808 2009-11-25
1548497597 Veronika Lee Hoover Social Worker 4195 N. Viking Way, Suite F, Long Beach, CA 90808 2009-06-17
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649815903 United Medical Radiology Network, Inc Radiology 2600 Redondo Ave # 101, Long Beach, CA 90806-2325 2019-11-11
1679901656 Alan Brooks Radiology 204 Prospect Ave, Long Beach, CA 90803-1617 2013-10-29
1669814273 Sun Imaging Associates Plc Radiology 3342 Terrace Ridge Ln, Long Beach, CA 90804-1203 2013-07-24
1760823819 Carleton Allen A Professional Medical Corporation Radiology 300 W Ocean Blvd, Suite 6806, Long Beach, CA 90802-7954 2013-07-17
1245587070 Southland Neurologic Associates Radiology 3747 Worsam Ave, #100, Long Beach, CA 90808-1774 2012-08-10
1578827697 Christine A Khong-mcbride Radiology 1333 Chestnut Ave., Radiology Dept Room 23, Long Beach, CA 90813 2012-07-03
1851664932 Samuel Louis Fenichel Radiology 5203 S. Marina Pacifica Dr, Long Beach, CA 90803 2012-02-20
1538208574 Stephen B Haltom Radiology 1025 El Mirador Ave, Long Beach, CA 90815-4420 2007-02-06
1154346336 Carol Manning Radiology 3320 N Los Coyotes Diagonal, Suite 120, 112 & 260, Long Beach, CA 90808-3918 2006-07-12
1245289925 Arnold Rappoport Radiology 2801 Atlantic Avenue, Attn: Radiology Department, Long Beach, CA 90801 2006-05-09
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Competitor

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City LONG BEACH
Zip Code 90808

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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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