Eisenhower Radiology Medical Group, Inc
LBN: Palm Desert Radiology Medical Group, Inc
Eisenhower Radiology Medical Group, Inc is an health care organization with primary practice located at 39000 Bob Hope Dr , Rancho Mirage CA 92270. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty.
Palm Desert Radiology Medical Group, Inc can be contacted via phone (760) 837-8449, or through Elly, Mehran K. via phone (760) 837-8449.
Contact Information
Primary practice address
39000 Bob Hope Dr
Rancho Mirage CA 92270
Phone: (760) 837-8449
Fax: (775) 624-9774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
| NPI number | 1124079868 |
|---|---|
| LBN Legal business name | Palm Desert Radiology Medical Group, Inc |
| DBA Doing business as | Eisenhower Radiology Medical Group, Inc |
| Authorized official | Elly, Mehran K. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Feb 5th, 2024 - about last year |
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 | 1124079868 | NPPES |
| California | MEDICAID | 1124079868 | |
| California | Other | CC9030 | |
| California | MEDICAID | GR0012730 | |
| California | Other | ZZZ40340Z |
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