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:
Map and Directions
Authorized official contact:
Name: Gritz, Richard Mark Doctor of Medicine (MD)
Phone: (818) 726-6480

Health care specialties

SpecialtyCodeLicense #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 10 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 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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