MEDICAL IMAGING CENTER OF SOUTHERN CALIFORNIA-BEVERLY HILLS, INC (NPI# 1437641727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437641727 |
| Entity Type | Organization |
| Organization Name | MEDICAL IMAGING CENTER OF SOUTHERN CALIFORNIA-BEVERLY HILLS, INC |
| Practice Address |
8727 Beverly Blvd Los Angeles CA 90048 |
| Mailing Address |
2811 Wilshire Blvd Ground Floor Santa Monica CA 90403 |
| Practice Telephone | 3108299788 |
| Practice Fax Number | 3105849999 |
| Mailing Telephone | 3108299788 |
| Mailing Fax Number | 3105849999 |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-07-25 |
| Authorized Official Name | MR. BRADLEY JABOUR (OWNER) |
| Authorized Official Telephone | 3108299788 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDICAL IMAGING CENTER OF SOUTHERN CALIFOR |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
8727 BEVERLY BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| 1831611714 | Christine Pacheco Claudio | Internal Medicine | 127 S San Vincente, Barbra Streisand Women's Heart Health Center, Los Angeles, CA 90048 | 2017-07-12 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487134623 | Hy Diagnostic Inc | Radiology | 4201 Wilshire Blvd Ste 334a, Los Angeles, CA 90010-3601 | 2018-08-17 |
| 1376022012 | Payersdirect, Inc. | Radiology | 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 | 2018-08-13 |
| 1043726367 | Perch Yetenikyan, Inc. | Radiology | 5465 Santa Monica Blvd Ste 101, Los Angeles, CA 90029-2339 | 2017-12-22 |
| 1306351895 | Payam Ebizadeh | Radiology | 1233 S Westgate Ave Apt 307, Los Angeles, CA 90025-6792 | 2017-12-06 |
| 1841720059 | Beverly Radiology Medical Group | Radiology | 8540 S Sepulveda Blvd Ste 111, Los Angeles, CA 90045-3810 | 2017-06-20 |
| 1164895520 | Elliot Kolin | Radiology | 10842 Portofino Pl, Los Angeles, CA 90077-2301 | 2015-11-07 |
| 1396123014 | Brian Weston | Radiology | 757 Westwood Plz Dept Of, Los Angeles, CA 90095-8358 | 2015-05-14 |
| 1629497581 | John P. Anderson Md, Russell M. Perry Md, and Mark A. Sharzer, Amc | Radiology | 931 S Cochran Ave, Los Angeles, CA 90036-4738 | 2014-04-08 |
| 1871930131 | Theodore Q Miller | Radiology | 6412 S Holt Ave, Los Angeles, CA 90056-2208 | 2013-05-28 |
| 1619213402 | Michael Stecker | Radiology | 2955 Motor Ave, Los Angeles, CA 90064-4530 | 2012-12-24 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
Please comment or provide details below to improve the information on MEDICAL IMAGING CENTER OF SOUTHERN CALIFORNIA-BEVERLY HILLS, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.