NPIMap

Organization Active NPI

Socal Imaging

  • Radiology Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1700355013
Registry record updated Nov 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
SOCAL IMAGING
Practice address
3760 Santa Rosalia Dr
Los Angeles, CA 90008-3611
Phone
(888) 814-0206
NPI assigned
Nov 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2018

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

Authorized official

Name
Reymond Gamzeletova
Title
President
Phone
(818) 402-2831

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X

Addresses

Primary practice location

3760 Santa Rosalia Dr
Los Angeles, CA 90008-3611

Mailing address

3760 Santa Rosalia Dr
Los Angeles, CA 90008-3611
Phone (888) 814-0206

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542412800000",
    "number": "1700355013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 SANTA ROSALIA DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083611",
            "telephone_number": "888-814-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 SANTA ROSALIA DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083611",
            "telephone_number": "888-814-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-17",
        "status": "A",
        "authorized_official_last_name": "GAMZELETOVA",
        "authorized_official_first_name": "REYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-402-2831"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.