Provider Demographics
NPI:1790182772
Name:COMPUMED, INC
Entity Type:Organization
Organization Name:COMPUMED, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:W. SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-258-5000
Mailing Address - Street 1:5777 W CENTURY BLVD
Mailing Address - Street 2:SUITE #360
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5600
Mailing Address - Country:US
Mailing Address - Phone:310-258-5000
Mailing Address - Fax:
Practice Address - Street 1:5777 W CENTURY BLVD
Practice Address - Street 2:SUITE #360
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-5600
Practice Address - Country:US
Practice Address - Phone:310-258-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-19
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2202282085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty