NPIMap

Organization Active NPI

Defined Imaging, Inc., a Professional Medical Group

  • Magnetic Resonance Imaging (MRI) Internal Medicine Physician
  • Huntington Beach, CA
National Provider Identifier
1275699019
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Internal Medicine PhysicianTaxonomy code 207RM1200X
Legal business name
DEFINED IMAGING, INC., A PROFESSIONAL MEDICAL GROUP
Practice address
18377 Beach Blvd
Suite 326
Huntington Beach, CA 92648-1381
Phone
(714) 841-7800
Fax
(714) 841-7806
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lawrence Wang, MDNPI 1891713004
Title
Owner
Phone
(714) 841-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RM1200X Primary

Addresses

Primary practice location

18377 Beach Blvd
Suite 326
Huntington Beach, CA 92648-1381

Mailing address

PO Box 90125
Long Beach, CA 90809-0125
Phone (800) 404-2353

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275699019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90125",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908090125",
            "telephone_number": "800-404-2353",
            "fax_number": "562-795-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18377 BEACH BLVD",
            "address_2": "SUITE 326",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481381",
            "telephone_number": "714-841-7800",
            "fax_number": "714-841-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFINED IMAGING, INC., A PROFESSIONAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-841-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RM1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • 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.