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:
Authorized official contact:
Name: Wasley, Richard Jonathan Doctor of Medicine (MD)
Phone: (949) 452-3573
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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