Saint John'S Tower Imaging Medical Group, Inc.

LBN: Saint John'S Tower Imaging Medical Group, Inc.
Saint John'S Tower Imaging Medical Group, Inc. is an health care organization with primary practice located at 1328 22Nd St Department Of Radiology, Santa Monica CA 90404-2032. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Saint John'S Tower Imaging Medical Group, Inc. can be contacted via phone (310) 829-8814, or through Roth, Gerald M via phone (323) 549-3030.

Contact Information

Primary practice address
1328 22Nd St Department Of Radiology Santa Monica CA 90404-2032
Phone: (310) 829-8814
Fax: (310) 315-6192
Website:
Map and Directions
Authorized official contact:
Name: Roth, Gerald M Doctor of Medicine (MD)
Phone: (323) 549-3030

Health care specialties

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

Profile Details

NPI number 1356396782
LBN Legal business name Saint John'S Tower Imaging Medical Group, Inc.
DBA Doing business as
Authorized official Roth, Gerald M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2006
Last updated Apr 2nd, 2009 - about 15 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 1356396782 NPPES
California MEDICAID GR0059370
California Other ZZZ39865Z

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