Delta Radiology Medical Group, Inc.

LBN: Delta Radiology Medical Group, Inc.
Delta Radiology Medical Group, Inc. is an health care organization with primary practice located at 1617 N California St Suite 1A, Stockton CA 95204-6117. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Delta Radiology Medical Group, Inc. can be contacted via phone (209) 948-6063, or through Goldbert, Terry via phone (209) 334-4416.

Contact Information

Primary practice address
1617 N California St Suite 1A Stockton CA 95204-6117
Phone: (209) 948-6063
Fax: (209) 948-2661
Website:
Map and Directions
Authorized official contact:
Name: Goldbert, Terry
Phone: (209) 334-4416

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1659496750
LBN Legal business name Delta Radiology Medical Group, Inc.
DBA Doing business as
Authorized official Goldbert, Terry
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Dec 11th, 2007 - about 18 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 1659496750 NPPES
California MEDICAID GR0006151

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