Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Avenue Imaging

Organization Mammography Clinic/Center · NPI 1154520989

Grand Avenue Imaging is a Mammography Clinic/Center in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

1400 S Grand Ave Ste 608
Los Angeles, CA 90015-3068
Phone: (213) 746-5800
Fax: (213) 746-5802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mammography Clinic/Center (primary) Taxonomy 261QR0206X · Licence FAC 48220 (CA)

Record details

NPI number1154520989
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gene Eason — Administrator · (213) 746-5800
NPI enumeratedJuly 12, 2007
Last updated in NPPESJune 21, 2018
Mailing address1400 S Grand Ave Ste 608, Los Angeles, CA 90015-3068

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