Pacific Coast Medical Imaging Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PACIFIC COAST MEDICAL IMAGING INC

Practice address

3760 Santa Rosalia Dr
Los Angeles, CA 90008-3611

Phone

(818) 402-2831

NPI assigned

Sep 19, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Reymond Gamzeletova

Title

Manager

Phone

(818) 402-2831

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1386471597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10717 WILSHIRE BLVD APT 1002",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244483",
            "telephone_number": "818-402-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 SANTA ROSALIA DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083611",
            "telephone_number": "818-402-2831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20251 Ventura Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913642571",
            "country_code": "US",
            "telephone_number": "818-402-2831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2726 E Florence Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Huntington Park",
            "state": "CA",
            "postal_code": "902555747",
            "country_code": "US",
            "telephone_number": "818-402-2831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC COAST MEDICAL IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "GAMZELETOVA",
        "authorized_official_first_name": "REYMOND",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-402-2831",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Clinics
• Pacific Clinics
• Pacific Clinics
• Pacific Coast Anesthesia Consultants, Inc.
• Pacific Coast Home Health Services Inc
• Pacific Coast Medical Supplies
• Pacific Coast Medical Supply
• Pacific Coast Sports Medicine
• Pacific Fertility Center
• Pacific Forensic Psychology Associates, Inc

• Radiology Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.