Jerrold Mink in Simi Valley - Diagnostic Radiology

Jerrold Mink - NPI 1619925971

Jerrold Mink is a Diagnostic Radiology in Simi Valley, California. Jerrold Mink practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jerrold Mink is 1619925971. The last update date is 2013-10-10.

Jerrold Mink's current location address is Po Box 190, Simi Valley, California. You can contact this provider via phone number 8055225940 and fax number 8055226401. The mailing address for Jerrold Mink is Po Box 190, Simi Valley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerrold Mink
Address Po Box 190, Simi Valley, California
Phone Number 8055225940
Fax Number 8055226401
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1619925971
Provider Enumeration Date 2006-05-05
Last Updated Date 2013-10-10

Provider Mailing Address Detail

Address Po Box 190
City Simi Valley
State California (CA)
Post Code 930620190
Phone Number 8055225940
Fax Number 8055226401

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No G22691
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G226910 CA --

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FAQs about Jerrold Mink

What is the Jerrold Mink's unique identification number?

The Jerrold Mink has been assigned the NPI (National Provider Identifier) Number 1619925971 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Jerrold Mink?

The Jerrold Mink is physically situated at Po Box 190, in the city of Simi Valley, state of CA, with the postal code 930620190.

What is Jerrold Mink's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jerrold Mink's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.

On what date did the Jerrold Mink receive its 1619925971 assignment from the Centers for Medicare & Medicaid Services?

The Jerrold Mink was assigned its 1619925971 by the Centers for Medicare & Medicaid Services on 2006-05-05.

As of what date were the details pertaining to Jerrold Mink last refreshed?

The information related to the Jerrold Mink, including its address, specialty, and other relevant details, was last updated on 2013-10-10.

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