Organization
ADVANCED IMAGING OF SOUTH BAY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL Z STEIN MD (AUTHORIZED OFFICIAL)
(310) 707-3590
Entity
Organization
Contact information
Practice address
4101 TORRANCE BLVD, TORRANCE, CA 90503-4607
(310) 303-5750
(310) 303-5709
Mailing address
DEPT LA 21552, PASADENA, CA 91185-1552
(949) 263-8620
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0102980
—
CA
05
—
GR0102981
—
CA
01
—
ZZZ13651Z
BLUE SHIELD
CA
01
—
ZZZ13652Z
BLUE SHIELD
CA
01
—
ZZZ13660Z
BLUE SHIELD
CA
Enumeration date
05/11/2006
Last updated
04/02/2021
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