Allive Ultrasound Imaging LLC

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

Legal business name

ALLIVE ULTRASOUND IMAGING LLC

Practice address

767 Academy Dr
Solana Beach, CA 92075-2031

Phone

(858) 775-2428

NPI assigned

Oct 7, 2022

Last updated

Oct 7, 2022By 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

Choonggoo Kang

Title

Cfo

Phone

(858) 703-7522

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyungmi Moon, SONOGRAPHER

  • Sonography Radiologic Technologist
  • Solana Beach, CA
  • NPI 1013632934

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1356066740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 BROOKBURN DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302779",
            "telephone_number": "858-703-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 ACADEMY DR",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752031",
            "telephone_number": "858-775-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIVE ULTRASOUND IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "CHOONGGOO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "858-703-7522"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sonography Radiologic Technologist in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Sonography Radiologic Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.