Organization · NPI-2

Advanced Imaging Of South Bay, INC.

Radiology, Diagnostic Radiology · Torrance, CA

NPI number1003866914
StatusActive
Last updated in NPPESApr 2, 2021

Details

NPI
1003866914
Entity type
Organization (NPI-2)
Legal business name
Advanced Imaging Of South Bay, INC.
Organization subpart
No
Enumeration date
May 11, 2006
Certification date
Apr 2, 2021
Last updated
Apr 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology––Yes

Practice location

4101 Torrance Blvd
Torrance, CA 90503-4607

Phone 310-303-5750 · Fax 310-303-5709

Mailing address

Dept La 21552
Pasadena, CA 91185-1552

Phone 949-263-8620

Authorized official

Michael Z Stein
Authorized Official
3107073590

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