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:
Map and Directions
Authorized official contact:
Name: Mccreight, Peter H.B. Doctor of Medicine (MD)
Phone: (858) 454-4235

Health care specialties

SpecialtyCodeLicense #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 15 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 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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