South Valley Radiology Medical Group Inc in Pasadena - Diagnostic Radiology
South Valley Radiology Medical Group Inc - NPI 1508813619
South Valley Radiology Medical Group Inc is a Diagnostic Radiology in Pasadena, California. South Valley Radiology Medical Group Inc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for South Valley Radiology Medical Group Inc is 1508813619. The last update date is 2015-12-01.
South Valley Radiology Medical Group Inc's current location address is File 1261, Pasadena, California. You can contact this provider via phone number 8774062916 and fax number 8006560592. The mailing address for South Valley Radiology Medical Group Inc is File 1261, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Valley Radiology Medical Group Inc |
|---|---|
| Address | File 1261, Pasadena, California |
| Phone Number | 8774062916 |
| Fax Number | 8006560592 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gritz Mark Richard |
| Credentials | MD |
| Telephone Number | 8187266480 |
NPI Number Detail
| NPI Number | 1508813619 |
|---|---|
| Provider Enumeration Date | 2006-05-27 |
| Last Updated Date | 2015-12-01 |
Provider Mailing Address Detail
| Address | File 1261 |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 911990665 |
| Phone Number | 8774062916 |
| Fax Number | 8006560592 |
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 |
|---|---|---|---|
| ZZZ65212Z | CA | BLUE SHIELD | |
| ZZZ65202Z | CA | BLUE SHIELD | |
| ZZZ65301Z | CA | BLUE SHIELD | |
| GR0092560 | CA | -- | |
| GR0092562 | CA | -- | |
| ZZZ80581Z | CA | -- | |
| ZZZ65198Z | CA | BLUE SHIELD | |
| ZZZ65200Z | CA | BLUE SHIELD | |
| ZZZ65201Z | CA | BLUE SHIELD |
Post Comment/ Review Below
What is the South Valley Radiology Medical Group Inc's unique identification number?
The South Valley Radiology Medical Group Inc has been assigned the NPI (National Provider Identifier) Number 1508813619 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where South Valley Radiology Medical Group Inc is physically located?
The South Valley Radiology Medical Group Inc is physically situated at the following address: File 1261, Pasadena, CA, 911990665.
What is the South Valley Radiology Medical Group Inc's area of specialization and corresponding taxonomy classification?
The South Valley Radiology Medical Group Inc's specialty field is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1508813619 to South Valley Radiology Medical Group Inc?
The Centers for Medicare & Medicaid Services assigned the 1508813619 to South Valley Radiology Medical Group Inc on 2006-05-27.
As of what date were the details pertaining to South Valley Radiology Medical Group Inc last refreshed?
The information related to the South Valley Radiology Medical Group Inc, including its address, specialty, and other relevant details, was last updated on 2015-12-01.
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