Del Amo Pet Imaging Center LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

4834-19 Issued in CA

Legal business name

DEL AMO PET IMAGING CENTER LLC

Practice address

3531 Fashion Way
Torrance, CA 90503-4807

Phone

(310) 316-2424

NPI assigned

Jun 4, 2006

Last updated

Sep 20, 2016By 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

Steve Muelken

Title

Exec VP & Cfo

Phone

(800) 544-3215

Specialties & licenses 1

Addresses

Other identifiers 3

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Alliance Healthcare Services Inc

  • Mobile Radiology Clinic/Center
  • Evanston, IL
  • NPI 1083657332

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1609814102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BAYVIEW CIR",
            "address_2": "SUITE 400",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602983",
            "telephone_number": "800-544-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 FASHION WAY",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034807",
            "telephone_number": "310-316-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL AMO PET IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "MUELKEN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "EXEC VP & CFO",
        "authorized_official_telephone_number": "800-544-3215"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "4834-19",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EXE70140F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00189215",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ09162Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Del Amo Dermatology a Medical Corp
• Del Amo Family Medical Group Inc
• Del Amo Gardens Convalescent Center, LLC (Del Amo Gardens Care Center)
• Del Amo Hospital, Inc (Del Amo Behavioral Health System)
• Del Amo Optometry a Professional Corporation
• Del Amo Professional Pharmacy
• Del Amo Smiles Dentistry, Prof. Corp (Del Amo Smiles Dentistry)
• Ashley Del Angel
• Patrick Z. Del Conte, MS, C.T.R.S.
• Marydel Delgado Del Mar, OTR

• Radiology Clinic/Center in Torrance, CA
• Providers in Torrance, 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 20, 2016; 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.