Rolling Oaks Radiology Medical Corp Corporation

LBN: Rolling Oaks Radiology Medical Corp Corporation
Rolling Oaks Radiology Medical Corp Corporation is an health care organization with primary practice located at 415 Rolling Oaks Dr , Thousand Oaks CA 91361-1029. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Rolling Oaks Radiology Medical Corp Corporation can be contacted via phone (805) 778-1513, or through Princenthal, Robert via phone (805) 778-1513.

Contact Information

Primary practice address
415 Rolling Oaks Dr Thousand Oaks CA 91361-1029
Fax:
Website:
Authorized official contact:
Name: Princenthal, Robert Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1639122757
LBN Legal business name Rolling Oaks Radiology Medical Corp Corporation
DBA Doing business as
Authorized official Princenthal, Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Feb 7th, 2013 - about 11 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 1639122757 NPPES
Other ZZZ39119Z BLUE SHIELD
Other ZZZ65592Z BLUE SHIELD
Other CG2342 BLUE SHIELD
MEDICAID GR0056260 BLUE SHIELD

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