Provider Demographics
NPI:1558308346
Name:UNIVERSITY IMAGING CENTER OF SANTA CLARITA, INC
Entity Type:Organization
Organization Name:UNIVERSITY IMAGING CENTER OF SANTA CLARITA, INC
Other - Org Name:UNIVERSITY IMAGING CENTER OF BEVERLY HILLS, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-909-7111
Mailing Address - Street 1:24036 LYONS AVE
Mailing Address - Street 2:
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-2446
Mailing Address - Country:US
Mailing Address - Phone:818-909-7111
Mailing Address - Fax:661-255-2812
Practice Address - Street 1:24036 LYONS AVE
Practice Address - Street 2:
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-2446
Practice Address - Country:US
Practice Address - Phone:818-909-7111
Practice Address - Fax:661-255-2812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty