California Diagnostic Imaging Center A Medical Corporation

LBN: California Diagnostic Imaging Center A Medical Corporation
California Diagnostic Imaging Center A Medical Corporation is an health care organization with primary practice located at 828 S Grand Ave Ste 104, Glendora CA 91740-4856. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. California Diagnostic Imaging Center A Medical Corporation can be contacted via phone (626) 915-5181, or through Underwood, David J via phone (626) 339-5464.

Contact Information

Primary practice address
828 S Grand Ave Ste 104 Glendora CA 91740-4856
Fax: (626) 331-2313
Website:
Authorized official contact:
Name: Underwood, David J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1396737474
LBN Legal business name California Diagnostic Imaging Center A Medical Corporation
DBA Doing business as
Authorized official Underwood, David J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2005
Last updated Oct 18th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396737474 NPPES
California MEDICAID GR0103720
California Other P00081546
California Other ZZZ07258Z

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