South Valley Radiology Medical Group Inc
LBN: South Valley Radiology Medical Group Inc
South Valley Radiology Medical Group Inc is an health care organization with primary practice located at 18344 Clark St Suite 101, Tarzana CA 91356-3505. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
South Valley Radiology Medical Group Inc can be contacted via phone (818) 881-9811, or through Gritz, Richard Mark via phone (818) 726-6480.
Contact Information
Primary practice address
18344 Clark St Suite 101
Tarzana CA 91356-3505
Phone: (818) 881-9811
Fax: (818) 881-1638
Website:
Authorized official contact:
Name: Gritz, Richard Mark Doctor of Medicine (MD)
Phone: (818) 726-6480
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | ||
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
NPI number | 1508813619 |
---|---|
LBN Legal business name | South Valley Radiology Medical Group Inc |
DBA Doing business as | |
Authorized official | Gritz, Richard Mark Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 27th, 2006 |
Last updated | Dec 1st, 2015 - about 9 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 | 1508813619 | NPPES |
California | Other | ZZZ65212Z | BLUE SHIELD |
California | Other | ZZZ65202Z | BLUE SHIELD |
California | Other | ZZZ65301Z | BLUE SHIELD |
California | MEDICAID | GR0092560 | BLUE SHIELD |
California | MEDICAID | GR0092562 | BLUE SHIELD |
California | MEDICAID | ZZZ80581Z | BLUE SHIELD |
California | Other | ZZZ65198Z | BLUE SHIELD |
California | Other | ZZZ65200Z | BLUE SHIELD |
California | Other | ZZZ65201Z | BLUE SHIELD |
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