San Gabriel Vip A California Limited Partnership in West Covina - Diagnostic Radiology
San Gabriel Vip A California Limited Partnership - NPI 1144262817
San Gabriel Vip A California Limited Partnership is a Diagnostic Radiology in West Covina, California. San Gabriel Vip A California Limited Partnership practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for San Gabriel Vip A California Limited Partnership is 1144262817. The last update date is 2013-06-17.
San Gabriel Vip A California Limited Partnership's current location address is Po Box 635, West Covina, California. You can contact this provider via phone number 6268139988 and fax number 6268130075. The mailing address for San Gabriel Vip A California Limited Partnership is Po Box 635, West Covina, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | San Gabriel Vip A California Limited Partnership |
---|---|
Address | Po Box 635, West Covina, California |
Phone Number | 6268139988 |
Fax Number | 6268130075 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MEDICAL DI |
---|---|
Authorized Official Name | Kaiserman D. Donald |
Credentials | M.D. |
Telephone Number | 6268139988 |
NPI Number Detail
NPI Number | 1144262817 |
---|---|
Provider Enumeration Date | 2006-06-10 |
Last Updated Date | 2013-06-17 |
Provider Mailing Address Detail
Address | Po Box 635 |
---|---|
City | West Covina |
State | California (CA) |
Post Code | 917930635 |
Phone Number | 6268139988 |
Fax Number | 6268130075 |
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 |
---|---|---|---|
BCBS | CA | ZZZ25286Z | |
GR0058270 | CA | -- | |
CQ2233 | CA | MEDICARE RR |
Post Comment/ Review Below
What is the San Gabriel Vip A California Limited Partnership's 1144262817?
The San Gabriel Vip A California Limited Partnership's NPI (National Provider Identifier) Number is 1144262817. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where San Gabriel Vip A California Limited Partnership's facilities are geographically located?
The facilities of San Gabriel Vip A California Limited Partnership are physically situated at the following location: Po Box 635, West Covina, CA, 917930635.
What is San Gabriel Vip A California Limited Partnership's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for San Gabriel Vip A California Limited Partnership is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1144262817 to San Gabriel Vip A California Limited Partnership?
The Centers for Medicare & Medicaid Services originally issued the 1144262817 to San Gabriel Vip A California Limited Partnership on 2006-06-10.
When was the information pertaining to San Gabriel Vip A California Limited Partnership most recently updated or revised?
The details related to San Gabriel Vip A California Limited Partnership, including its address, specialty, and other relevant information, were last updated or revised on 2013-06-17.
NPI Number: 1730182858
Address: 40 Old Lancaster Rd Apt 412, Merion Station, PA