Valley Radiology Of Encino

LBN: J. Bruce Jacobs, Md, Inc
Valley Radiology Of Encino is an health care organization with primary practice located at 17779 Ventura Blvd , Encino CA 91316-3717. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. J. Bruce Jacobs, Md, Inc can be contacted via phone (818) 776-9100, or through Usmanov, Alexander via phone (818) 776-9100.

Contact Information

Primary practice address
17779 Ventura Blvd Encino CA 91316-3717
Phone: (818) 776-9100
Fax: (818) 776-0544
Website:
Map and Directions
Authorized official contact:
Name: Usmanov, Alexander Doctor of Medicine (MD)
Phone: (818) 776-9100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A21604 California

Profile Details

NPI number 1588967566
LBN Legal business name J. Bruce Jacobs, Md, Inc
DBA Doing business as Valley Radiology Of Encino
Authorized official Usmanov, Alexander Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2010
Last updated Jan 28th, 2014 - about 10 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 1588967566 NPPES
California MEDICAID 1588967566

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