| Organization Name: | ADVANCED CARDIAC IMAGING CORPORATION |
| NPI Number: | 1013961630 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EMMA SEVILLENO BODOTA (PRESIDENT) |
| Mailing Address: | 12632 Bellflower Blvd Downey |
| State: | CA US |
| Postal Code: | 902424812 |
| Phone Number: | 5624010189 |
| Fax Number: | 5624010160 |
| NPI Enumeration Date: | 05/19/2006 |
| NPI Last Update Date: | 10/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |