Socal Mr Site Management, Inc.

LBN: Socal Mr Site Management, Inc.
Socal Mr Site Management, Inc. is an health care organization with primary practice located at 740 E Arrow Hwy Suite A, Covina CA 91722-2144. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Socal Mr Site Management, Inc. can be contacted via phone (626) 966-1580, or through Berger, Howard G. via phone (310) 445-2800.

Contact Information

Primary practice address
740 E Arrow Hwy Suite A Covina CA 91722-2144
Fax: (626) 967-7821
Website:
Authorized official contact:
Name: Berger, Howard G. Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1396774022
LBN Legal business name Socal Mr Site Management, Inc.
DBA Doing business as
Authorized official Berger, Howard G. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2006
Last updated Aug 22nd, 2020 - about 4 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 1396774022 NPPES
California MEDICAID GR0059840
California MEDICAID GR0090660
California MEDICAID GR0090661
California Other ZZZ19215Z
California Other ZZZ23491Z
California Other ZZZ45829Z

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