Provider Demographics
NPI:1124414123
Name:NEW HOPE HEALTHCARE LLC
Entity Type:Organization
Organization Name:NEW HOPE HEALTHCARE LLC
Other - Org Name:HOPE IMAGING MEDICAL CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:RADIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JRFFREY
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:LOVIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-442-0535
Mailing Address - Street 1:18065 VENTURA BLVD
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3517
Mailing Address - Country:US
Mailing Address - Phone:818-708-6163
Mailing Address - Fax:818-344-1390
Practice Address - Street 1:616 E ALVARADO ST
Practice Address - Street 2:D
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-2350
Practice Address - Country:US
Practice Address - Phone:768-689-6100
Practice Address - Fax:760-689-6110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-07
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD17100261QR0200X
261QR0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No261QR0207XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile Mammography
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherTIN