Provider Demographics
NPI:1578858585
Name:AM & BB IMAGING CENTER INC
Entity Type:Organization
Organization Name:AM & BB IMAGING CENTER INC
Other - Org Name:IMPERIAL RADIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY, OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AFSANEH
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGHSOUDY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-730-3536
Mailing Address - Street 1:6010 HIDDEN VALLEY RD
Mailing Address - Street 2:STE 125
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-4213
Mailing Address - Country:US
Mailing Address - Phone:760-730-3536
Mailing Address - Fax:760-720-4833
Practice Address - Street 1:2407 MARSHALL AVE STE A
Practice Address - Street 2:
Practice Address - City:IMPERIAL
Practice Address - State:CA
Practice Address - Zip Code:92251-9504
Practice Address - Country:US
Practice Address - Phone:760-730-3536
Practice Address - Fax:760-720-4833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-17
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A606220Medicaid
CAW18740Medicare PIN
CAG93002Medicare UPIN