Provider Demographics
NPI:1700226933
Name:FOCUS MEDICAL IMAGING
Entity Type:Organization
Organization Name:FOCUS MEDICAL IMAGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-600-3430
Mailing Address - Street 1:267 S SAN PEDRO ST
Mailing Address - Street 2:SUITE 261
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-3874
Mailing Address - Country:US
Mailing Address - Phone:310-600-3430
Mailing Address - Fax:
Practice Address - Street 1:267 S SAN PEDRO ST
Practice Address - Street 2:SUITE 261
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012-3874
Practice Address - Country:US
Practice Address - Phone:310-600-3430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FOCUS MEDICAL IMAGING, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear RadiologyGroup - Single Specialty