Organization
SIMI VALLEY MEDICAL IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK V DIMARTINO (CFO & EXECUTIVE VP)
(425) 637-2991
Entity
Organization
Contact information
Practice address
1687 ERRINGER RD, SUITE 210, SIMI VALLEY, CA 93065-6508
(805) 527-4674
(805) 527-4675
Mailing address
PO BOX 94293, SEATTLE, WA 98124-6593
(425) 637-2991
(425) 637-4646
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0056261
—
CA
Enumeration date
05/02/2006
Last updated
10/30/2007
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