1629212840 NPI number — BEAUMONT RADIOLOGY SERVICES LLC

Table of content: (NPI 1629212840)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629212840 NPI number — BEAUMONT RADIOLOGY SERVICES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BEAUMONT RADIOLOGY SERVICES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629212840
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/01/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10 VIENNA
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEWPORT BEACH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92660-6832
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
949-395-4536
Provider Business Mailing Address Fax Number:
949-364-2632

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
81 S. HIGHLAND SPRINGS AVENUE
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
BEAUMONT
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92223
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-395-4536
Provider Business Practice Location Address Fax Number:
949-364-2632
Provider Enumeration Date:
05/01/2009

Additional Information

Authorized Official

Authorized Official Last Name:
FONTOURA
Authorized Official First Name:
DANIEL
Authorized Official Middle Name:
E
Authorized Official Title or Position:
CHAIRMAN
Authorized Official Telephone Number:
909-558-4000

Provider Taxonomy Codes

  • Taxonomy code: 261QR0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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