Provider Demographics
NPI:1891745006
Name:SAN FRANCISCO MEDICAL IMAGING, INC.
Entity Type:Organization
Organization Name:SAN FRANCISCO MEDICAL IMAGING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:LITVAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-440-0004
Mailing Address - Street 1:815 HYDE ST
Mailing Address - Street 2:SUITE # 100
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-5996
Mailing Address - Country:US
Mailing Address - Phone:415-440-0004
Mailing Address - Fax:415-440-2425
Practice Address - Street 1:815 HYDE ST
Practice Address - Street 2:SUITE # 100
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-5996
Practice Address - Country:US
Practice Address - Phone:415-440-0004
Practice Address - Fax:415-440-2425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAY28946Medicare UPIN
CAZZZ31715ZMedicare ID - Type Unspecified