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

Medical Imaging Center of Southern California

Organization Diagnostic Radiology Physician · NPI 1700907433

Medical Imaging Center of Southern California is a Diagnostic Radiology Physician in Santa Monica, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

2827 Wilshire Blvd
Santa Monica, CA 90403-4801
Phone: (310) 829-9788
Fax: (310) 453-1576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence W13479 (CA)

Record details

NPI number1700907433
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dairzette Layne — Billing Manager · (310) 829-9788
NPI enumeratedApril 2, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2827 Wilshire Blvd, Santa Monica, CA 90403-4801

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