Physicians Radiology Medical Group, Inc.
LBN: Physicians Radiology Medical Group, Inc.
Physicians Radiology Medical Group, Inc. is an health care organization with primary practice located at 6386 Alvarado Ct 121, San Diego CA 92120-4905. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
Physicians Radiology Medical Group, Inc. can be contacted via phone (619) 229-6551, or through Robins, Jon via phone (619) 229-6551.
Contact Information
Primary practice address
6386 Alvarado Ct 121
San Diego CA 92120-4905
Phone: (619) 229-6551
Fax: (619) 286-4524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ||
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X |
Profile Details
| NPI number | 1891741831 |
|---|---|
| LBN Legal business name | Physicians Radiology Medical Group, Inc. |
| DBA Doing business as | |
| Authorized official | Robins, Jon Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Nov 27th, 2007 - about 17 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 | 1891741831 | NPPES |
| Other | ZZZ35437Z | BLUE SHIELD | |
| MEDICAID | ZZZ80428Z | BLUE SHIELD | |
| Other | ZZZ35440Z | BLUE SHIELD | |
| MEDICAID | ZZZ80191Z | BLUE SHIELD |
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