Santa Ana Tustin Radiology Medical Group
LBN: Santa Ana Tustin Radiology Medical Group
Santa Ana Tustin Radiology Medical Group is an health care organization with primary practice located at 1450 N Tustin Ave Suite 132, Santa Ana CA 92705-8640. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
Santa Ana Tustin Radiology Medical Group can be contacted via phone (714) 835-3709, or through Stein, Mark Geoffery via phone (714) 835-3709.
Contact Information
Primary practice address
1450 N Tustin Ave Suite 132
Santa Ana CA 92705-8640
Phone: (714) 835-3709
Fax: (714) 836-7034
Website:
Authorized official contact:
Name: Stein, Mark Geoffery Doctor of Medicine (MD)
Phone: (714) 835-3709
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | FNP 27532 | California |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | FNP 27532 | California |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | FNP 27532 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | FNP 27532 | California |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | FNP 27532 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | FNP 27532 | California |
Profile Details
| NPI number | 1972531036 |
|---|---|
| LBN Legal business name | Santa Ana Tustin Radiology Medical Group |
| DBA Doing business as | |
| Authorized official | Stein, Mark Geoffery Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Sep 20th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972531036 | NPPES |
| California | MEDICAID | GR0011440 |
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