Organization Active NPI

Lifescape Imaging Cypress LLC

  • Specialist
  • Torrance, CA
National Provider Identifier
1801036751
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A29726 Issued in CA
Legal business name
LIFESCAPE IMAGING CYPRESS LLC
Practice address
24584 Hawthorne Blvd
Torrance, CA 90505-6807
Phone
(310) 783-7656
NPI assigned
Mar 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Authorized official

Name
Mr. John D Rotondo
Title
President
Phone
(310) 265-3123

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A29726 CA Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G065833 CA

Addresses

Primary practice location

24584 Hawthorne Blvd
Torrance, CA 90505-6807

Mailing address

10601 Walker St
Cypress, CA 90630-4733
Phone (714) 656-2130

National Provider Directory

National Provider Directory

Locations

10601 Walker St
#1
Cypress, CA 90630
Phone (310) 265-3123

24584 Hawthorne Blvd
Torrance, CA 90505
Phone (310) 783-7656

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1801036751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 WALKER ST",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906304733",
            "telephone_number": "714-656-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24584 HAWTHORNE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056807",
            "telephone_number": "310-783-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESCAPE IMAGING CYPRESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "ROTONDO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-265-3123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A29726",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G065833",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.