Glendora Radiological Assoc Inc
LBN: Glendora Radiological Assoc Inc
Glendora Radiological Assoc Inc is an health care organization with primary practice located at 414 E San Bernardino Rd , Covina CA 91723-1704. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty.
Glendora Radiological Assoc Inc can be contacted via phone (626) 339-5464, or through Underwood, David J. via phone (626) 339-5464.
Contact Information
Primary practice address
414 E San Bernardino Rd
Covina CA 91723-1704
Phone: (626) 339-5464
Fax: (626) 331-2313
Website:
Authorized official contact:
Name: Underwood, David J. Doctor of Medicine (MD)
Phone: (626) 339-5464
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
| NPI number | 1992797070 |
|---|---|
| LBN Legal business name | Glendora Radiological Assoc Inc |
| 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 4th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992797070 | NPPES |
| California | Other | CP3326 | RAIL ROAD MEDICARE GRP # |
| California | Other | ZZZ35484Z | RAIL ROAD MEDICARE GRP # |
| California | Other | ZZZ14525Z | RAIL ROAD MEDICARE GRP # |
| California | MEDICAID | GR0011500 | RAIL ROAD MEDICARE GRP # |
| California | MEDICAID | GR0011502 | RAIL ROAD MEDICARE GRP # |
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