South Coast Radiological Medical Group Inc

LBN: South Coast Radiological Medical Group Inc
South Coast Radiological Medical Group Inc is an health care organization with primary practice located at 24451 Health Center Drive , Laguna Hills CA 92653-3689. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. South Coast Radiological Medical Group Inc can be contacted via phone (949) 452-3573, or through Wasley, Richard Jonathan via phone (949) 452-3573.

Contact Information

Primary practice address
24451 Health Center Drive Laguna Hills CA 92653-3689
Phone: (949) 452-3573
Fax: (949) 352-3573
Website:
Map and Directions
Authorized official contact:
Name: Wasley, Richard Jonathan Doctor of Medicine (MD)
Phone: (949) 452-3573

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X

Profile Details

NPI number 1902858384
LBN Legal business name South Coast Radiological Medical Group Inc
DBA Doing business as
Authorized official Wasley, Richard Jonathan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Sep 16th, 2022 - about 2 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 1902858384 NPPES
California MEDICAID GR0022882
California MEDICAID ZZZ73447Z
California MEDICAID ZZZ74694Z
California Other ZZZ14198Z
California Other ZZZ14199Z
California Other ZZZ73447Z
California Other ZZZ14200Z

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