Diagnostic Imaging Services, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

C39588 Issued in CA

Legal business name

DIAGNOSTIC IMAGING SERVICES, INC.

Practice address

4201 Torrance Blvd
Suite # 590
Torrance, CA 90503-4504

Phone

(310) 540-0300

Fax

(310) 540-0800

NPI assigned

Aug 13, 2009

Organization subpart

No

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

Authorized official

Name

Fouad I Ghaly, M.D.

Title

Ceo / Medical Director

Phone

(310) 540-0300

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1952533606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD",
            "address_2": "SUITE # 590",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034504",
            "telephone_number": "310-540-0300",
            "fax_number": "310-540-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD",
            "address_2": "SUITE # 590",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034504",
            "telephone_number": "310-540-0300",
            "fax_number": "310-540-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC IMAGING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "GHALY",
        "authorized_official_first_name": "FOUAD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO / MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-540-0300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "C39588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C39588",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.