Radiation Medical Group Inc

LBN: Radiation Medical Group Inc
Radiation Medical Group Inc is an health care organization with primary practice located at 2466 1St Ave Ste B, San Diego CA 92101-1408. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Radiation Medical Group Inc can be contacted via phone (619) 230-0400, or through Myking, Douglas G via phone (858) 888-7700.

Contact Information

Primary practice address
2466 1St Ave Ste B San Diego CA 92101-1408
Phone: (619) 230-0400
Fax: (858) 888-7757
Website:
Map and Directions
Authorized official contact:
Name: Myking, Douglas G MBA
Phone: (858) 888-7700

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1912905308
LBN Legal business name Radiation Medical Group Inc
DBA Doing business as
Authorized official Myking, Douglas G MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2005
Last updated Dec 28th, 2011 - about 14 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 1912905308 NPPES
California MEDICAID GR0062070

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