Imagiwill Med Co

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A109527 Issued in CA

Legal business name

IMAGIWILL MED CO

Practice address

1350 Columbia St
Suite 800
San Diego, CA 92101-3454

Phone

(619) 356-1446

Fax

(619) 618-4530

NPI assigned

Dec 24, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Araz Tawfique, M.D.

Title

Owner

Phone

(619) 356-1446

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1387843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387843200000",
    "number": "1447671185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1770",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919441770",
            "telephone_number": "619-464-1165",
            "fax_number": "619-567-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 COLUMBIA ST",
            "address_2": "SUITE 800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013454",
            "telephone_number": "619-356-1446",
            "fax_number": "619-618-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGIWILL MED CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-24",
        "last_updated": "2013-12-24",
        "status": "A",
        "authorized_official_last_name": "TAWFIQUE",
        "authorized_official_first_name": "ARAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-356-1446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A109527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Im
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• Steven G Imbesi, M.D.

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2013; 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.