Assured Imaging Women's Wellness of California, Inc.

Primary specialty

Mobile Mammography Clinic/CenterTaxonomy code 261QR0207X

Legal business name

ASSURED IMAGING WOMEN'S WELLNESS OF CALIFORNIA, INC.

Doing business as

Assured Imaging Women's Wellness

Practice address

110 N Valley Oaks Dr Ste C
Visalia, CA 93292-6790

Phone

(888) 233-6121

NPI assigned

Mar 25, 2011

Last updated

Oct 6, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

ASSURED IMAGING WOMENS WELLNESS, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Jin Kim

Title

Ceo

Phone

(312) 774-8828

Specialties & licenses 1

Addresses

Other names 1

• Assured Imaging Women's Wellness Doing business as

Locations

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1053610360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7717 N HARTMAN LN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857439506",
            "telephone_number": "888-233-6121",
            "fax_number": "520-572-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N VALLEY OAKS DR STE C",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932926790",
            "telephone_number": "888-233-6121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7717 N Hartman Ln",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857439506",
            "country_code": "US",
            "telephone_number": "888-233-6121",
            "fax_number": "520-572-7138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASSURED IMAGING WOMEN'S WELLNESS OF CALIFORNIA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSURED IMAGING WOMENS WELLNESS, LLC",
        "enumeration_date": "2011-03-25",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-774-8828",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QR0207X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile Mammography",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assured Imaging Women's Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Assured Imaging Women's Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Visalia, CA
• Providers in Visalia, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.