Provider Demographics
NPI:1508363110
Name:NORTH VALLEY MRI IMAGING INC
Entity Type:Organization
Organization Name:NORTH VALLEY MRI IMAGING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STUART
Authorized Official - Middle Name:EDWIN
Authorized Official - Last Name:STRAUSBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:213-270-4467
Mailing Address - Street 1:PO BOX 847
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-0847
Mailing Address - Country:US
Mailing Address - Phone:213-270-4467
Mailing Address - Fax:213-419-5008
Practice Address - Street 1:6 CENTERPOINTE DR STE 700
Practice Address - Street 2:
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-2545
Practice Address - Country:US
Practice Address - Phone:213-270-4467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-10
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A63638261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology