Harbor-UCLA Diagnostic Imaging Center

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

HARBOR-UCLA DIAGNOSTIC IMAGING CENTER

Practice address

21828 Normandie Ave
Torrance, CA 90502-2047

Phone

(310) 222-2801

Fax

(310) 328-4919

NPI assigned

Aug 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Phillips, M.D.

Title

Medical Director

Phone

(310) 222-5015

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Harbor-UCLA Medical Foundation Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Harbor-UCLA Medical Foundation Inc.

  • Specialist
  • Van Nuys, CA
  • NPI 1639282726
  NPD tax ID
• Harbor-UCLA Medical Foundation, Inc

  • Specialist
  • Torrance, CA
  • NPI 1437253184
  NPD tax ID

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255440194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21840 NORMANDIE AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022047",
            "telephone_number": "310-222-5015",
            "fax_number": "310-222-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21828 NORMANDIE AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022047",
            "telephone_number": "310-222-2801",
            "fax_number": "310-328-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR-UCLA DIAGNOSTIC IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-222-5015",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0009901",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harbor UCLA Medical Center
• Harbor UCLA Medical Center
• Harbor UCLA Medical Center
• Harbor UCLA Medical Center
• Harbor-UCLA
• Harbor-UCLA DMH
• Harbor-UCLA Medical Center
• Harbor-UCLA Medical Center
• Harbor-UCLA Medical Center
• Harbor-UCLA Medical Center

• Specialist in Torrance, CA
• Providers in Torrance, CA by specialty
• Specialist 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.