SL West Hills Imrt, LCC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

A71358 Issued in CA

Legal business name

SL WEST HILLS IMRT, LCC

Doing business as

Sightline San Fernando Valley

Practice address

21300 Erwin St
Woodland Hills, CA 91367-3717

Phone

(818) 449-2700

Fax

(818) 610-7461

NPI assigned

Nov 12, 2010

Organization subpart

No

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

Authorized official

Name

Mr. T Farnsworth

Title

Manager

Phone

(713) 589-6879

Specialties & licenses 1

Addresses

Other names 1

• Sightline San Fernando Valley Doing business as

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1649571258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21300 ERWIN ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673717",
            "telephone_number": "818-449-2700",
            "fax_number": "818-610-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 ERWIN ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673717",
            "telephone_number": "818-449-2700",
            "fax_number": "818-610-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SL WEST HILLS IMRT, LCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "FARNSWORTH",
        "authorized_official_first_name": "T",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-589-6879",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "A71358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sightline San Fernando Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.