Organization Active NPI

Pacific Coast MRI Inc.

  • Magnetic Resonance Imaging (MRI) Internal Medicine Physician
  • Huntington Park, CA
National Provider Identifier
1972713311
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Internal Medicine PhysicianTaxonomy code 207RM1200X
Legal business name
PACIFIC COAST MRI INC.
Practice address
2756 E Florence Ave
Huntington Park, CA 90255-5747
Phone
(323) 587-3236
Fax
(323) 587-3236
NPI assigned
May 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Emmanual Go
Title
President
Phone
(714) 836-4545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Internal Medicine Physician 207RM1200X NU Primary

Addresses

Primary practice location

2756 E Florence Ave
Huntington Park, CA 90255-5747

Mailing address

1638 E 17TH St
Suite I
Santa Ana, CA 92705-8515
Phone (714) 836-4545

National Provider Directory

National Provider Directory

Locations

1638 E 17th St
Ste I
Santa Ana, CA 92705

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972713311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 E 17TH ST",
            "address_2": "SUITE I",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058515",
            "telephone_number": "714-836-4545",
            "fax_number": "714-836-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2756 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555747",
            "telephone_number": "323-587-3236",
            "fax_number": "323-587-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST MRI INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GO",
        "authorized_official_first_name": "EMMANUAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-836-4545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RM1200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.