Diagnostic Imaging Medical Group

LBN: Diagnostic Imaging Medical Group
Diagnostic Imaging Medical Group is an health care organization with primary practice located at 1400 E Church St , Santa Maria CA 93454-5906. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Diagnostic Imaging Medical Group can be contacted via phone (805) 739-3400, or through Sonnabend, Steven via phone (805) 739-3412.

Contact Information

Primary practice address
1400 E Church St Santa Maria CA 93454-5906
Phone: (805) 739-3400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sonnabend, Steven Doctor of Medicine (MD)
Phone: (805) 739-3412

Health care specialties

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

Profile Details

NPI number 1417089962
LBN Legal business name Diagnostic Imaging Medical Group
DBA Doing business as
Authorized official Sonnabend, Steven Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2007
Last updated Jul 26th, 2018 - 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 1417089962 NPPES
California Other ZZZ18870Z BLUE SHIELD
California MEDICAID GR0011720 BLUE SHIELD
California MEDICAID GR0011721 BLUE SHIELD
California MEDICAID 1417089962 BLUE SHIELD

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