Tustin Teleradiology Medical Group Inc.
LBN: Tustin Teleradiology Medical Group Inc.
Tustin Teleradiology Medical Group Inc. is an health care organization with primary practice located at 13422 Newport Ave Suite I, Tustin CA 92780-3746. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiography, which is considered as the primary health care specialty.
Tustin Teleradiology Medical Group Inc. can be contacted via phone (714) 665-6900, or through Atlas, Thomas L via phone (714) 665-6900.
Contact Information
Primary practice address
13422 Newport Ave Suite I
Tustin CA 92780-3746
Phone: (714) 665-6900
Fax: (714) 665-6904
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Radiography | 2471C3402X | G74535 | California |
Profile Details
| NPI number | 1326086703 |
|---|---|
| LBN Legal business name | Tustin Teleradiology Medical Group Inc. |
| DBA Doing business as | |
| Authorized official | Atlas, Thomas L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Jan 1st, 2019 - about 5 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 | 1326086703 | NPPES |
| California | MEDICAID | 00G745350 | |
| California | MEDICAID | 002082232 | |
| California | Other | ZZZ57939Z |
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