Organization
SOUTHERN CALIFORNIA IMAGIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS GIONIS MD (PRESIDENT)
(949) 400-1799
Entity
Organization
Contact information
Practice address
13132 STUDEBAKER RD STE A, NORWALK, CA 90650-2573
(562) 929-7216
Mailing address
1801 NW 66TH AVE, SUITE 200A, PLANTATION, FL 33313-4571
(800) 443-3672
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
C2943567
CA
3140N1450X
Pediatric Skilled Nursing Facility
C2943567
CA
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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