Craig J Gomberg in Orange - Diagnostic Radiology

Craig J Gomberg - NPI 1184603128

Craig J Gomberg is a Diagnostic Radiology in Orange, California. Craig J Gomberg practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Craig J Gomberg is 1184603128. The last update date is 2008-08-15.

Craig J Gomberg's current location address is Po Box 5686, Orange, California. You can contact this provider via phone number 8885988819 and fax number 7145715055. The mailing address for Craig J Gomberg is Po Box 5686, Orange, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Craig J Gomberg
Address Po Box 5686, Orange, California
Phone Number 8885988819
Fax Number 7145715055
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1184603128
Provider Enumeration Date 2006-01-10
Last Updated Date 2008-08-15

Provider Mailing Address Detail

Address Po Box 5686
City Orange
State California (CA)
Post Code 928635686
Phone Number 8885988819
Fax Number 7145715055

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No G77225
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
050740CF74284 TRAILBLAZER
00G772250 CA --
050741CF74284 TRAILBLAZER
00G772250 BLUE SHIELD
P00300453 RAILROAD MEDICARE
00G772250E02 CALOPTIMA
050739CF74284 TRAILBLAZER

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FAQs about Craig J Gomberg

What is the unique identifier code issued to Craig J Gomberg by the Centers for Medicare & Medicaid Services (CMS)?

The Craig J Gomberg has been assigned the NPI (National Provider Identifier) 1184603128. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Craig J Gomberg is geographically located?

The Craig J Gomberg is physically situated at the following location: Po Box 5686, Orange, CA, 928635686.

What is the area of specialization for Craig J Gomberg, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Craig J Gomberg is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services assign the 1184603128 to Craig J Gomberg?

The Centers for Medicare & Medicaid Services assigned the 1184603128 to Craig J Gomberg on 2006-01-10.

When was the Craig J Gomberg's information last updated?

The Craig J Gomberg's information was last updated on 2008-08-15.

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