Central Coast Imaging, P.C.-Raytel Medical Imaging

LBN: Central Coast Imaging, P.C.-Raytel Medical Imaging
Central Coast Imaging, P.C.-Raytel Medical Imaging is an health care organization with primary practice located at 21 Santa Rosa St Suite 250, San Luis Obispo CA 93405-1898. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Central Coast Imaging, P.C.-Raytel Medical Imaging can be contacted via phone (800) 367-1095, or through Flanegin, Jeffrey M via phone (610) 831-1112.

Contact Information

Primary practice address
21 Santa Rosa St Suite 250 San Luis Obispo CA 93405-1898
Phone: (800) 367-1095
Fax: (860) 298-6127
Website:
Map and Directions
Authorized official contact:
Name: Flanegin, Jeffrey M
Phone: (610) 831-1112

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X California

Profile Details

NPI number 1093843377
LBN Legal business name Central Coast Imaging, P.C.-Raytel Medical Imaging
DBA Doing business as
Authorized official Flanegin, Jeffrey M
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Aug 31st, 2007 - about 17 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 1093843377 NPPES
California MEDICAID GR0089800

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