Eastern Sierra Radiology in Arcadia - Diagnostic Radiology
Eastern Sierra Radiology - NPI 1417065103
Eastern Sierra Radiology is a Diagnostic Radiology in Arcadia, California. Eastern Sierra Radiology practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Eastern Sierra Radiology is 1417065103. The last update date is 2007-09-17.
Eastern Sierra Radiology's current location address is 333 N Santa Anita Ave, Arcadia, California. You can contact this provider via phone number 6264450004 and fax number 6264450302. The mailing address for Eastern Sierra Radiology is 333 N Santa Anita Ave, Arcadia, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Eastern Sierra Radiology |
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Address | 333 N Santa Anita Ave, Arcadia, California |
Phone Number | 6264450004 |
Fax Number | 6264450302 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Nesson Willard John |
Credentials | M.D. |
Telephone Number | 6264450004 |
NPI Number Detail
NPI Number | 1417065103 |
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Provider Enumeration Date | 2006-08-25 |
Last Updated Date | 2007-09-17 |
Provider Mailing Address Detail
Address | 333 N Santa Anita Ave |
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City | Arcadia |
State | California (CA) |
Post Code | 910062863 |
Phone Number | 6264450004 |
Fax Number | 6264450302 |
Provider's Primary Taxonomy Detail
Speciality | Diagnostic Radiology |
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Taxonomy | 2085R0202X |
Licence No | A22120 |
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
00A221201 | CA | -- | |
ZZZ04744Z | CA | BLUE SHIELD | |
A22120 | CA | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Eastern Sierra Radiology by the Centers for Medicare & Medicaid Services?
The Eastern Sierra Radiology has been assigned the NPI (National Provider Identifier) 1417065103 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Eastern Sierra Radiology is physically located?
The Eastern Sierra Radiology is physically situated at the following address: 333 N Santa Anita Ave, Arcadia, CA, 910062863.
What is Eastern Sierra Radiology's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Eastern Sierra Radiology is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417065103 to Eastern Sierra Radiology?
The Centers for Medicare & Medicaid Services originally issued the 1417065103 to Eastern Sierra Radiology on 2006-08-25.
As of what date were the details pertaining to Eastern Sierra Radiology last refreshed?
The information related to the Eastern Sierra Radiology, including its address, specialty, and other relevant details, was last updated on 2007-09-17.
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