Provider Demographics
NPI:1518340207
Name:WESTMINSTER TOWER IMAGING CENTER INC.
Entity Type:Organization
Organization Name:WESTMINSTER TOWER IMAGING CENTER INC.
Other - Org Name:WESTMINSTER TOWER IMAGING
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-766-6455
Mailing Address - Street 1:8341 WESTMINSTER BLVD.
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-8337
Mailing Address - Country:US
Mailing Address - Phone:714-766-6455
Mailing Address - Fax:714-766-6456
Practice Address - Street 1:8341 WESTMINSTER BLVD.
Practice Address - Street 2:SUITE 102
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-8337
Practice Address - Country:US
Practice Address - Phone:714-766-6455
Practice Address - Fax:714-766-6456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-30
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiologyGroup - Multi-Specialty