Riverside Radiology Medical Group Inc

LBN: Riverside Radiology Medical Group Inc
Riverside Radiology Medical Group Inc is an health care organization with primary practice located at 4500 Brockton Ave Suite 219, Riverside CA 92501-4090. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Riverside Radiology Medical Group Inc can be contacted via phone (951) 276-7550, or through Massee, Donald R. via phone (951) 788-3400.

Contact Information

Primary practice address
4500 Brockton Ave Suite 219 Riverside CA 92501-4090
Phone: (951) 276-7550
Fax: (951) 276-9883
Website:
Map and Directions
Authorized official contact:
Name: Massee, Donald R. Doctor of Medicine (MD)
Phone: (951) 788-3400

Health care specialties

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

Profile Details

NPI number 1013092394
LBN Legal business name Riverside Radiology Medical Group Inc
DBA Doing business as
Authorized official Massee, Donald R. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Jan 18th, 2008 - 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 1013092394 NPPES
California MEDICAID GR0104280

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