Grove Diagnostic Imaging
LBN: Beverly Radiology Medical Group
Grove Diagnostic Imaging is an health care organization with primary practice located at 8283 Grove Ave Suite 101, Rancho Cucamonga CA 91730-3137. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty.
Beverly Radiology Medical Group can be contacted via phone (909) 982-8638, or through Berger, Howard G. via phone (310) 445-2800.
Contact Information
Primary practice address
8283 Grove Ave Suite 101
Rancho Cucamonga CA 91730-3137
Phone: (909) 982-8638
Fax: (909) 920-0640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
| NPI number | 1942255807 |
|---|---|
| LBN Legal business name | Beverly Radiology Medical Group |
| DBA Doing business as | Grove Diagnostic Imaging |
| Authorized official | Berger, Howard G. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942255807 | NPPES |
| California | Other | ZZZ05211Z | BLUE SHIELD |
| California | MEDICAID | GR0092131 | BLUE SHIELD |
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