California Diagnostic Imaging Center A Medical Corporation in Glendora - Diagnostic Radiology

California Diagnostic Imaging Center A Medical Corporation - NPI 1396737474

California Diagnostic Imaging Center A Medical Corporation is a Diagnostic Radiology in Glendora, California. California Diagnostic Imaging Center A Medical Corporation practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for California Diagnostic Imaging Center A Medical Corporation is 1396737474. The last update date is 2017-10-18.

California Diagnostic Imaging Center A Medical Corporation's current location address is Box 5010, Glendora, California. You can contact this provider via phone number 6269155181 and fax number 6263312313. The mailing address for California Diagnostic Imaging Center A Medical Corporation is Box 5010, Glendora, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization California Diagnostic Imaging Center A Medical Corporation
Address Box 5010, Glendora, California
Phone Number 6269155181
Fax Number 6263312313
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Underwood J David
Credentials MD
Telephone Number 6263395464

NPI Number Detail

NPI Number 1396737474
Provider Enumeration Date 2005-08-16
Last Updated Date 2017-10-18

Provider Mailing Address Detail

Address Box 5010
City Glendora
State California (CA)
Post Code 917400735
Phone Number 6269155181
Fax Number 6263312313

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
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
GR0103720 CA --
P00081546 CA RAIL ROAD MEDICARE GRP #
ZZZ07258Z CA BLUE SHIELD

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FAQs about California Diagnostic Imaging Center A Medical Corporation

What is the unique 10-digit identifier code issued to California Diagnostic Imaging Center A Medical Corporation by the Centers for Medicare & Medicaid Services?

The California Diagnostic Imaging Center A Medical Corporation has been assigned the NPI (National Provider Identifier) 1396737474 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where California Diagnostic Imaging Center A Medical Corporation is geographically located?

The California Diagnostic Imaging Center A Medical Corporation is physically situated at the following location: Box 5010, Glendora, CA, 917400735.

What is California Diagnostic Imaging Center A Medical Corporation'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 California Diagnostic Imaging Center A Medical Corporation is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.

On what date did California Diagnostic Imaging Center A Medical Corporation receive its 1396737474 assignment from the Centers for Medicare & Medicaid Services?

The California Diagnostic Imaging Center A Medical Corporation was assigned its 1396737474 on 2005-08-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the California Diagnostic Imaging Center A Medical Corporation's information last updated?

The California Diagnostic Imaging Center A Medical Corporation's information was last updated on 2017-10-18.

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