Montgomery Radiographic Svs

LBN: Montgomery Radiographic Svs
Montgomery Radiographic Svs is an health care organization with primary practice located at 720 N Tustin Ave Ste 204 , Santa Ana CA 92705-3606. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Radiology, which is considered as the primary health care specialty. Montgomery Radiographic Svs can be contacted via phone (714) 835-7260, or through Montgomery, Monte Matthew via phone (714) 835-7260.

Contact Information

Primary practice address
720 N Tustin Ave Ste 204 Santa Ana CA 92705-3606
Phone: (714) 835-7260
Fax: (714) 835-5808
Website:
Map and Directions
Authorized official contact:
Name: Montgomery, Monte Matthew XRAY TECHNICIAN
Phone: (714) 835-7260

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Radiology 1223X0008X RHP 52036 California

Profile Details

NPI number 1316151202
LBN Legal business name Montgomery Radiographic Svs
DBA Doing business as
Authorized official Montgomery, Monte Matthew XRAY TECHNICIAN
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1316151202 NPPES
California Other CGP168497 PROVIDER NUMBER

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