Provider Demographics
NPI:1700585767
Name:KP MRI SOLUTION
Entity Type:Organization
Organization Name:KP MRI SOLUTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:PAK
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:213-247-7919
Mailing Address - Street 1:8341 WESTMINSTER BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-8337
Mailing Address - Country:US
Mailing Address - Phone:657-400-9168
Mailing Address - Fax:657-400-9169
Practice Address - Street 1:8341 WESTMINSTER BLVD STE 102
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-8337
Practice Address - Country:US
Practice Address - Phone:657-400-9168
Practice Address - Fax:657-400-9169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RM1200XAllopathic & Osteopathic PhysiciansInternal MedicineMagnetic Resonance Imaging (MRI)Group - Single Specialty