La Jolla Radiology Medical Group - Diagnosis, Inc.
LBN: La Jolla Radiology Medical Group - Diagnosis, Inc.
La Jolla Radiology Medical Group - Diagnosis, Inc. is an health care organization with primary practice located at 10150 Sorrento Valley Rd Suite 320, San Diego CA 92121-1635. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
La Jolla Radiology Medical Group - Diagnosis, Inc. can be contacted via phone (858) 454-4235, or through Mccreight, Peter H.B. via phone (858) 454-4235.
Contact Information
Primary practice address
10150 Sorrento Valley Rd Suite 320
San Diego CA 92121-1635
Phone: (858) 454-4235
Fax: (858) 454-4644
Website:
Authorized official contact:
Name: Mccreight, Peter H.B. Doctor of Medicine (MD)
Phone: (858) 454-4235
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
| NPI number | 1689627317 |
|---|---|
| LBN Legal business name | La Jolla Radiology Medical Group - Diagnosis, Inc. |
| DBA Doing business as | |
| Authorized official | Mccreight, Peter H.B. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jun 22nd, 2009 - about 16 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 | 1689627317 | NPPES |
| California | MEDICAID | GR0006796 | |
| California | Other | ZZZ00191Z | |
| California | Other | ZZZ00872Z | |
| California | Other | ZZZ71703Z | |
| California | Other | ZZZ23443Z | |
| California | Other | ZZZ777070Z | |
| California | Other | ZZZ00192Z | |
| California | MEDICAID | GR0006799 | |
| California | Other | ZZZ00873Z | |
| California | MEDICAID | ZZZ71703Z | |
| California | Other | ZZZ73863Z | |
| California | MEDICAID | ZZZ73863Z |
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