Organization Active NPI

Molecular Imaging Management LLC.

  • Nuclear Imaging & Therapy Physician
  • Los Angeles, CA
National Provider Identifier
1306892195
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X
Legal business name
MOLECULAR IMAGING MANAGEMENT LLC.
Doing business as
Westside Diagnostic and Therapeutic Medical Center LL. & Eastside Diag
Practice address
12524 W Washington Blvd
12524 W. Washington Blvd
Los Angeles, CA 90066-5506
Phone
(310) 313-5287
Fax
(310) 915-7246
NPI assigned
May 25, 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
Mr. George Amin
Title
Ceo
Phone
(310) 313-5287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Imaging & Therapy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207UN0902X Primary

Addresses

Primary practice location

12524 W Washington Blvd
12524 W. Washington Blvd
Los Angeles, CA 90066-5506

Mailing address

12524 W Washington Blvd
12524 W. Washington Blvd
Los Angeles, CA 90066-5506
Phone (310) 313-5287

Other names 1

  • Westside Diagnostic and Therapeutic Medical Center LL. & Eastside Diag Doing business as

National Provider Directory

National Provider Directory

Locations

12524 W Washington Blvd
Los Angeles, CA 90066
Phone (310) 313-5287

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306892195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12524 W WASHINGTON BLVD",
            "address_2": "12524 W. WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665506",
            "telephone_number": "310-313-5287",
            "fax_number": "310-915-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12524 W WASHINGTON BLVD",
            "address_2": "12524 W. WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665506",
            "telephone_number": "310-313-5287",
            "fax_number": "310-915-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLECULAR IMAGING MANAGEMENT LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-313-5287",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Diagnostic and Therapeutic Medical Center LL. & Eastside Diag",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, 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.