Organization
BREAST IMAGING RADIOLOGISTS, A MEDICAL GROUP, INC.
Active
Other names
Breast Imaging Radiologists
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SIE MD (PRESIDENT/CEO)
(562) 933-7833
Entity
Organization
Contact information
Practice address
2810 LONG BEACH BLVD FL 2, LONG BEACH, CA 90806-1558
(562) 933-7833
(562) 933-7869
Mailing address
PO BOX 1620, EVANSVILLE, IN 47706-0022
(562) 933-7833
(562) 933-7869
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0103100
—
CA
01
—
ZZZ13747Z
BLUE SHIELD
CA
Enumeration date
05/26/2006
Last updated
03/04/2024
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