Montgomery Radiographic Svs in Santa Ana - Oral And Maxillofacial Radiology
Montgomery Radiographic Svs - NPI 1316151202
Montgomery Radiographic Svs is a Oral And Maxillofacial Radiology in Santa Ana, California. Montgomery Radiographic Svs practices all healthcare services and medical treatments related to Oral And Maxillofacial Radiology. The NPI Number for Montgomery Radiographic Svs is 1316151202. The last update date is 2020-08-22.
Montgomery Radiographic Svs's current location address is 720 N Tustin Ave 204, Santa Ana, California. You can contact this provider via phone number 7148357260 and fax number 7148355808. The mailing address for Montgomery Radiographic Svs is 720 N Tustin Ave 204, Santa Ana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Montgomery Radiographic Svs |
|---|---|
| Address | 720 N Tustin Ave 204, Santa Ana, California |
| Phone Number | 7148357260 |
| Fax Number | 7148355808 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER XRAY |
|---|---|
| Authorized Official Name | Montgomery Matthew Monte |
| Credentials | XRAY TECH |
| Telephone Number | 7148357260 |
NPI Number Detail
| NPI Number | 1316151202 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 720 N Tustin Ave 204 |
|---|---|
| City | Santa Ana |
| State | California (CA) |
| Post Code | 92705 |
| Phone Number | 7148357260 |
| Fax Number | 7148355808 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Radiology |
|---|---|
| Taxonomy | 1223X0008X |
| Licence No | RHP 52036 |
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Definition: The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditio |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CGP168497 | CA | PROVIDER NUMBER |
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What is the Montgomery Radiographic Svs's unique identification number?
The Montgomery Radiographic Svs has been assigned the NPI (National Provider Identifier) Number 1316151202 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Montgomery Radiographic Svs located?
The Montgomery Radiographic Svs is located at 720 N Tustin Ave 204, Santa Ana, CA 92705.
What is Montgomery Radiographic Svs's area of expertise and its corresponding taxonomy classification?
The Montgomery Radiographic Svs's field of specialization is Oral And Maxillofacial Radiology, and it falls under the taxonomy code 1223X0008X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316151202 to Montgomery Radiographic Svs?
The Centers for Medicare & Medicaid Services originally issued the 1316151202 to Montgomery Radiographic Svs on 2007-05-09.
As of what date were the Montgomery Radiographic Svs's details last updated?
The information pertaining to the Montgomery Radiographic Svs, including its address, specialty, and other details, was most recently updated on 2020-08-22.