Inner Reflections Imaging and Staffing Services LP

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

INNER REFLECTIONS IMAGING AND STAFFING SERVICES LP

Practice address

12836 Arabella St
Cerritos, CA 90703-6001

Phone

(562) 881-9147

Fax

(562) 924-8869

NPI assigned

Feb 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jed Geppert Padre

Title

Chief Executive Officer

Phone

(562) 881-9147

Specialties & licenses 1

Addresses

Other names 1

• Inner Reflections Imaging and Staffing Services Doing business as

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043358674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12836 ARABELLA ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036001",
            "fax_number": "562-924-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12836 ARABELLA ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036001",
            "telephone_number": "562-881-9147",
            "fax_number": "562-924-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER REFLECTIONS IMAGING AND STAFFING SERVICES LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PADRE",
        "authorized_official_first_name": "JED",
        "authorized_official_middle_name": "GEPPERT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "562-881-9147",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Reflections Imaging and Staffing Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Estela C. Ilagan, M.D.
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• Mobile Radiology Clinic/Center in Cerritos, CA
• Providers in Cerritos, 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 Aug 22, 2020; 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.