Tower Imaging Medical Group, Inc
LBN: Tower Imaging Medical Group, Inc
Tower Imaging Medical Group, Inc is an health care organization with primary practice located at 2202 Wilshire Blvd , Santa Monica CA 90403-5706. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
Tower Imaging Medical Group, Inc can be contacted via phone (310) 264-9000, or through Roth, Gerald M. via phone (323) 549-3030.
Contact Information
Primary practice address
2202 Wilshire Blvd
Santa Monica CA 90403-5706
Phone: (310) 264-9000
Fax: (310) 264-9004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
| NPI number | 1013962067 |
|---|---|
| LBN Legal business name | Tower Imaging Medical Group, Inc |
| DBA Doing business as | |
| Authorized official | Roth, Gerald M. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Feb 9th, 2009 - about 16 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 | 1013962067 | NPPES |
| California | MEDICAID | GR0056083 | |
| California | Other | ZZZ05808Z | |
| California | MEDICAID | GR0056081 | |
| California | Other | ZZZ09295Z | |
| California | Other | ZZZ64302Z | |
| California | MEDICAID | GR0056084 | |
| California | MEDICAID | GR0056086 | |
| California | Other | ZZZ59119Z | |
| California | MEDICAID | GR0056085 | |
| California | Other | ZZZ07585Z |
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