Redwood Radiology Group Inc

LBN: Redwood Radiology Group Inc
Redwood Radiology Group Inc is an health care organization with primary practice located at 121 Sotoyome St , Santa Rosa CA 95405-4823. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Redwood Radiology Group Inc can be contacted via phone (707) 546-4062, or through Modic, Frank E via phone (707) 546-4062.

Contact Information

Primary practice address
121 Sotoyome St Santa Rosa CA 95405-4823
Fax: (707) 525-4095
Website:
Authorized official contact:
Name: Modic, Frank E Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1326461708
LBN Legal business name Redwood Radiology Group Inc
DBA Doing business as
Authorized official Modic, Frank E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 21st, 2014
Last updated Dec 23rd, 2020 - about 5 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 1326461708 NPPES
California Other ZZZ81620Y BLUE SHIELD
California Other ZZZ81615Y BLUE SHIELD
California Other ZZZ81617Y BLUE SHIELD
California Other ZZZ81618Y BLUE SHIELD
California Other ZZZ81619Y BLUE SHIELD

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