Joli Medical Management, Inc.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

JOLI MEDICAL MANAGEMENT, INC.

Doing business as

Cal-State Radiology

Practice address

2139 Tapo St
Suite# 226
Simi Valley, CA 93063-3478

Phone

(877) 854-3001

Fax

(877) 854-3002

NPI assigned

Mar 29, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Melinda Weinberg

Title

Chief Financial Offcier

Phone

(877) 854-3001

Specialties & licenses 1

Addresses

Other names 1

• Cal-State Radiology Doing business as

Locations

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1467984492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1772J E AVENIDA DE LOS ARBOLES",
            "address_2": "#193",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913626109",
            "telephone_number": "877-854-3001",
            "fax_number": "877-854-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 TAPO ST",
            "address_2": "SUITE# 226",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633478",
            "telephone_number": "877-854-3001",
            "fax_number": "877-854-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLI MEDICAL MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MELINDA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFCIER",
        "authorized_official_telephone_number": "877-854-3001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cal-State Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Point of Service in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.