Brea Diagnostic Cardiac Imaging

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

7435-30 Issued in CA

Legal business name

BREA DIAGNOSTIC CARDIAC IMAGING

Practice address

379 W. Central Ave.
Brea, CA 92821-3041

Phone

(714) 257-0246

Fax

(714) 257-9120

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Maria Luisa Tinsay Locsin

Title

Managing Director

Phone

(714) 257-0246

Specialties & licenses 1

Addresses

Other names 1

• Brea Doagnostic Cardiac Imaging Former legal business name

Locations

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1780639765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 8747",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928225747",
            "telephone_number": "714-257-0245",
            "fax_number": "714-257-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 W. CENTRAL AVE.",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213041",
            "telephone_number": "714-257-0246",
            "fax_number": "714-257-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREA DIAGNOSTIC CARDIAC IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "LOCSIN",
        "authorized_official_first_name": "MARIA LUISA",
        "authorized_official_middle_name": "TINSAY",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "714-257-0246",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "7435-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brea Doagnostic Cardiac Imaging",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Radiology Clinic/Center in Brea, CA
• Providers in Brea, 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 May 22, 2009; 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.