Organization
CITRUS MEDICAL IMAGING ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN W ROSEN M.D. (MANAGING PARTNER)
(626) 814-2460
Entity
Organization
Contact information
Practice address
1000 LAKES DR, SUITE 170, WEST COVINA, CA 91790
(626) 869-0293
(626) 869-0310
Mailing address
PO BOX 628, WEST COVINA, CA 91793-0628
(626) 814-2460
(626) 814-2465
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
C24928
CA
2085N0904X
Nuclear Radiology Physician
Primary
C24928
CA
2085R0202X
Diagnostic Radiology Physician
C24928
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ75960Z
—
CA
Enumeration date
09/15/2006
Last updated
09/11/2025
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