San Gabriel Valley Diagnostic Center Medical Group
LBN: San Gabriel Valley Diagnostic Center Medical Group
San Gabriel Valley Diagnostic Center Medical Group is an health care organization with primary practice located at 1509 W Cameron Ave Suite D, West Covina CA 91790-2725. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
San Gabriel Valley Diagnostic Center Medical Group can be contacted via phone (626) 962-3525, or through Krishnasamy, Bharath Kumar via phone (626) 962-3525.
Contact Information
Primary practice address
1509 W Cameron Ave Suite D
West Covina CA 91790-2725
Phone: (626) 962-3525
Fax: (626) 962-0032
Website:
Authorized official contact:
Name: Krishnasamy, Bharath Kumar Doctor of Medicine (MD)
Phone: (626) 962-3525
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
| NPI number | 1790725141 |
|---|---|
| LBN Legal business name | San Gabriel Valley Diagnostic Center Medical Group |
| DBA Doing business as | |
| Authorized official | Krishnasamy, Bharath Kumar Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | May 25th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790725141 | NPPES |
| California | Other | ZZZ11986Z | BLUE SHIELD OF CALIF |
| California | MEDICAID | GR0023300 | BLUE SHIELD OF CALIF |
Popular Providers
-
Citrus Medical Imaging Associates, Inc.
1000 Lakes Dr Suite 170, West Covina CA 91790 -
Centrelake Medical Group Inc
1433 N Hollenbeck Ave Suite 105, Covina CA 91722-1558 -
Lakeside Medical Assoicates, A Medical Group, Inc.
1135 S Sunset Ave Suite 100, West Covina CA 91790-3937 -
San Gabriel Vip, A California Limited Partnership
1401 W Merced Ave Suite 102, West Covina CA 91790-3401 -
West Covina Medical Group, Inc.
1135 S Sunset Ave Ste 100 , West Covina CA 91790-3938 -
Cedars-Sinai Imaging Medical Group A Professional Corporation
8700 Beverly Blvd # M-335 , West Hollywood CA 90048-1804 -
Horizon Medical Imaging, Inc.
1115 S Sunset Ave , West Covina CA 91790-3940 -
Socal Mr Site Management, Inc.
740 E Arrow Hwy Suite A, Covina CA 91722-2144