Jubilee Radiology, Inc

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

G46021 Issued in CA

Legal business name

JUBILEE RADIOLOGY, INC

Practice address

550 E Carson Plaza Dr Ste 105
Carson, CA 90746-7359

Phone

(310) 630-5843

Fax

(310) 630-5844

NPI assigned

Mar 12, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Janis F. Owens, M.D.

Title

Ceo

Phone

(310) 630-5843

Specialties & licenses 1

Addresses

Other names 1

• Janis F. Owens, M.D. Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1033350574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E CARSON PLAZA DR STE 105",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907467359",
            "telephone_number": "310-630-5843",
            "fax_number": "310-630-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E CARSON PLAZA DR STE 105",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907467359",
            "telephone_number": "310-630-5843",
            "fax_number": "310-630-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE RADIOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-630-5843",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "CA",
            "license": "G46021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Janis F. Owens, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Mobile Radiology Clinic/Center in Carson, CA
• Providers in Carson, CA by specialty
• Mobile Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.