MINK RADIOLOGIC IMAGING MEDICAL ASSOCIATES, INC. – NPI #1265485015
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

MINK RADIOLOGIC IMAGING MEDICAL ASSOCIATES, INC. is a radiologist located in BEVERLY HILLS, CA. NPPES has assigned the NPI number 1265485015 to MINK RADIOLOGIC IMAGING MEDICAL ASSOCIATES, INC. on May 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 13 years ago on Oct 08, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MINK RADIOLOGIC IMAGING MEDICAL ASSOCIATES, INC. below.

NPI Profile for
MINK RADIOLOGIC IMAGING MEDICAL ASSOCIATES, INC.

NPI Number
1265485015
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MINK RADIOLOGIC IMAGING MEDICAL ASSOCIATES, INC.
Primary location
8670 WILSHIRE BLVD STE 101
SUITE 101
BEVERLY HILLS, CA 90211-2930
Phone: (310) 358-2100 Fax:
Mailing address
PO BOX 190
SIMI VALLEY, CA 93062-0190
Phone: (805) 522-5940 Fax: (805) 522-6401
Organization Subpart
No
Authorized Official
JERROLD MINK
MEDICAL DIRECTOR
Phone: (310) 358-2100
Updated
Identifiers

Identifiers for MINK RADIOLOGIC IMAGING MEDICAL ASSOCIATES, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE SHIELDZZZ06391Z
OTHERBLUE SHIELDZZZ77048Z
OTHERBLUE SHIELDZZZ66023Z
OTHERRAILROAD MEDICAREDA6633
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.