Mammo Q Plus Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

MAMMO Q PLUS INC

Practice address

22020 Avalon Blvd
Carson, CA 90745-3307

Phone

(310) 518-2620

Fax

(310) 835-5799

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Yolanda Tarroza Vida

Title

President

Phone

(310) 518-2620

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619044534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22020 S AVALON BLVD",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452734",
            "telephone_number": "310-518-2620",
            "fax_number": "310-835-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22020 AVALON BLVD",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907453307",
            "telephone_number": "310-518-2620",
            "fax_number": "310-835-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMMO Q PLUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VIDA",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "TARROZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-518-2620",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XR010016F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in Carson, CA
• Providers in Carson, 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 Aug 22, 2020; 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.