Organization
SOUTH BAY PREMIER MRI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JOSHUA URSICH JR. (OWNER)
(310) 339-9620
Entity
Organization
Contact information
Practice address
28633 S WESTERN AVE STE 200, RANCHO PALOS VERDES, CA 90275-0817
(310) 339-9620
(310) 548-5050
Mailing address
28633 S WESTERN AVE STE 200, RANCHO PALOS VERDES, CA 90275-0817
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2025
Last updated
01/12/2026
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