# SOUTH BAY PREMIER MRI LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528932423
- **Authorized official:** TIMOTHY JOSHUA URSICH JR. (OWNER)
- **Authorized official phone:** (310) 339-9620

## Contact information

- **Practice address:** 28633 S WESTERN AVE STE 200, RANCHO PALOS VERDES, CA 90275-0817
- **Practice address phone:** (310) 339-9620
- **Practice address fax:** (310) 548-5050
- **Mailing address:** 28633 S WESTERN AVE STE 200, RANCHO PALOS VERDES, CA 90275-0817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/02/2025
- **Last updated:** 01/12/2026