Diagnostic Medical Group Of Souther California

LBN: David C P Chen, M.D., Inc
Diagnostic Medical Group Of Souther California is an health care organization with primary practice located at 1129 S San Gabriel Blvd , San Gabriel CA 91776-3114. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. David C P Chen, M.D., Inc can be contacted via phone (626) 282-2802, or through La Rocca, Toni via phone (626) 282-2802.

Contact Information

Primary practice address
1129 S San Gabriel Blvd San Gabriel CA 91776-3114
Fax: (626) 282-2202
Website:
Authorized official contact:
Name: La Rocca, Toni BILLING MANAGER

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1285785519
LBN Legal business name David C P Chen, M.D., Inc
DBA Doing business as Diagnostic Medical Group Of Souther California
Authorized official La Rocca, Toni BILLING MANAGER
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2007
Last updated Feb 13th, 2012 - about 12 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 1285785519 NPPES
California MEDICAID GR0018480
California MEDICAID GR0018483
California MEDICAID GR0018482

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