SOCAL IMAGING (NPI# 1700355013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700355013 |
| Entity Type | Organization |
| Organization Name | SOCAL IMAGING |
| Practice Address |
3760 Santa Rosalia Dr Los Angeles CA 90008-3611 |
| Practice Telephone | 8888140206 |
| Mailing Telephone | 8888140206 |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2018-11-17 |
| Authorized Official Name | REYMOND GAMZELETOVA (PRESIDENT) |
| Authorized Official Telephone | 8184022831 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers | ||
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | SoCal Imaging LLC | 8400 E Prentice Ave, Greenwood Village, CO 80111 |
| Street Address |
3760 SANTA ROSALIA DR |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90008-3611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486081 | Pacific Mri A Nursing Corporation | Clinic/Center | 3760 Santa Rosalia Dr, Los Angeles, CA 90008-3611 | 2020-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185215 | Mishanda Y Freeman | Social Worker | 3001 West Vernon Ave, Los Angeles, CA 90008 | 2019-10-11 |
| 1104390723 | Joana Rodriguez | Rehabilitation Practitioner | 3731 Stocker St., Suite 105, Los Angeles, CA 90008 | 2019-01-16 |
| 1356840128 | Acclivity | Community/Behavioral Health | 3870 Crenshaw Blvd Ste 229, Los Angeles, CA 90008 | 2018-02-07 |
| 1376055145 | Gentle F Carcamo | Rehabilitation Practitioner | 3731 Stoker Street, Ste. 105, Los Angeles, CA 90008 | 2017-11-01 |
| 1710498332 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4173 2nd Ave, Los Angeles, CA 90008 | 2017-10-23 |
| 1144748591 | Alexandra Nicole Romero | Social Worker | 3751 Stocker St., Los Angeles, CA 90008 | 2017-09-06 |
| 1669998209 | Leslie S Ortiz | Counselor | 3731 Stocker Street, Suite 105, Los Angeles, CA 90008 | 2017-08-15 |
| 1902335078 | Deanna L Williams | Counselor | 3757 Santa Rosalia Drive, #628, Los Angeles, CA 90008 | 2017-06-12 |
| 1609300508 | Lydia Quintanills | Counselor | 3756 Santa Rosalia Dr Suite 617, Los Angeles, CA 90008 | 2017-04-18 |
| 1881056661 | A Plus Care Giver Services | Clinic/Center | 2420 W. Mlk Jr. Blvd, Los Angeles, CA 90008 | 2016-03-22 |
| Find all providers in zip 90008 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164049508 | Ohni Imaging Inc | Clinic/Center | 8631 W 3rd St # 945e, Los Angeles, CA 90048-5901 | 2020-07-01 |
| 1861920761 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 6310 San Vicente Blvd Ste 102, Los Angeles, CA 90048-5426 | 2017-05-23 |
| 1477816700 | George C Lee Jr. | Clinic/Center | 1200 North State, Ct-2b 300 Lac-usc, Los Angeles, CA 90033-9985 | 2012-06-21 |
| 1851682595 | Broadway Radiology, Inc. | Clinic/Center | 231 W Vernon Ave Ste 111, Los Angeles, CA 90037-2778 | 2011-04-28 |
| 1225238769 | Ez Diagnosis Center LLC | Clinic/Center | 520 S Virgil Ave Ste 104, Los Angeles, CA 90020-1417 | 2007-07-23 |
| 1184750630 | Ardmore Imaging Inc | Clinic/Center | 3663 W 6th St Ste 105, Los Angeles, CA 90020-3047 | 2007-02-26 |
| 1205927399 | Functional Restoration Medical Center, Inc | Clinic/Center | 3513 Whittier Blvd, Los Angeles, CA 90023-1709 | 2006-09-27 |
| 1295841377 | Shin Mri LLC | Clinic/Center | 266 S Harvard Blvd Ste 220, Los Angeles, CA 90004-4339 | 2006-08-22 |
| 1578590584 | East Sunset Imaging Inc | Clinic/Center | 4327 W Sunset Blvd, Los Angeles, CA 90029-2111 | 2006-06-26 |
| 1700486081 | Pacific Mri A Nursing Corporation | Clinic/Center | 3760 Santa Rosalia Dr, Los Angeles, CA 90008-3611 | 2020-10-27 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90008 |
Please comment or provide details below to improve the information on SOCAL IMAGING.
| 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.