Organization Name: | INLAND IMAGING SERVICES |
NPI Number: | 1639363856 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEO BACA (PRESIDENT) |
Mailing Address: | 13330 Bloomfield Ave Suite 114 Norwalk |
State: | CA US |
Postal Code: | 906503251 |
Phone Number: | 5626742911 |
Fax Number: | 5626742917 |
NPI Enumeration Date: | 08/30/2007 |
NPI Last Update Date: | 08/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247100000X |
License Number: | 05CO1119 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |