Provider Demographics
NPI:1649166281
Name:UNITED THERANOSTICS PHYSICIANS OF CALIFORNIA
Entity type:Organization
Organization Name:UNITED THERANOSTICS PHYSICIANS OF CALIFORNIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RCM
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:STRAUGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:RCM
Authorized Official - Phone:301-450-2095
Mailing Address - Street 1:8300 NORMAN CENTER DR
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55437-1027
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11500 W OLYMPIC BLVD STE 610
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-1527
Practice Address - Country:US
Practice Address - Phone:443-333-1894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & TherapyGroup - Multi-Specialty