| Organization Name: | ULTRASOUND INSTITUTE MEDICAL GROUP |
| NPI Number: | 1013201532 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | YOLANDA DE PAZ (OFFICE MANAGER) |
| Mailing Address: | 291 S La Cienega Blvd Suite 500 Beverly Hills |
| State: | CA US |
| Postal Code: | 902113325 |
| Phone Number: | 3102895123 |
| Fax Number: | |
| NPI Enumeration Date: | 06/01/2011 |
| NPI Last Update Date: | 06/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471S1302X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Sonography |
| Taxonomy Definition: | |