Provider Demographics
NPI:1811342439
Name:CALIFORNIA MEDICAL IMAGING CORP.
Entity type:Organization
Organization Name:CALIFORNIA MEDICAL IMAGING CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:CILING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-648-0500
Mailing Address - Street 1:5757 WILSHIRE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-3686
Mailing Address - Country:US
Mailing Address - Phone:323-648-0500
Mailing Address - Fax:323-648-0508
Practice Address - Street 1:5757 WILSHIRE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-3686
Practice Address - Country:US
Practice Address - Phone:323-648-0500
Practice Address - Fax:323-648-0508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-02
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody ImagingGroup - Multi-Specialty
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiologyGroup - Multi-Specialty