Provider Demographics
NPI:1063608669
Name:PROGRESSIVE MEDICAL IMAGING, INC.
Entity type:Organization
Organization Name:PROGRESSIVE MEDICAL IMAGING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HUI-BON-HOA
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS
Authorized Official - Phone:323-658-8787
Mailing Address - Street 1:626 CAMINO DE ENCANTO
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-6534
Mailing Address - Country:US
Mailing Address - Phone:323-658-8787
Mailing Address - Fax:323-658-8763
Practice Address - Street 1:4302 OVERLAND AVE STE A
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-4117
Practice Address - Country:US
Practice Address - Phone:323-658-8787
Practice Address - Fax:323-658-8763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Multi-Specialty
No246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CATG072Medicare PIN