Five Cities Medical Imaging

LBN: Radiology Associates Of San Luis Obispo
Five Cities Medical Imaging is an health care organization with primary practice located at 921 Oak Park Blvd Ste 102, Pismo Beach CA 93449. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Radiology Associates Of San Luis Obispo can be contacted via phone (805) 779-7900, or through Russell, William M. via phone (805) 461-7080.

Contact Information

Primary practice address
921 Oak Park Blvd Ste 102 Pismo Beach CA 93449
Phone: (805) 779-7900
Fax: (805) 779-7910
Website:
Map and Directions
Authorized official contact:
Name: Russell, William M. Doctor of Medicine (MD)
Phone: (805) 461-7080

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1306813886
LBN Legal business name Radiology Associates Of San Luis Obispo
DBA Doing business as Five Cities Medical Imaging
Authorized official Russell, William M. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 3rd, 2006
Last updated Dec 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306813886 NPPES
California MEDICAID GR0009777

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