Organization
COMMUNITY HEALTH IMAGING CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZARA MARSELIAN (PRESIDENT AND CEO)
(619) 584-1612
Entity
Organization
Contact information
Practice address
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1608
(619) 997-4859
(619) 342-1698
Mailing address
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1608
(619) 997-4859
(619) 342-1698
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
239408
CA
261QR0206X
Mammography Clinic/Center
81412111187
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154763407
—
CA
01
—
CB248047
MEDICARE
CA
Enumeration date
07/26/2013
Last updated
10/06/2025
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