West Coast Radiology Center - Anaheim

LBN: West Coast Radiology Center - Anaheim
West Coast Radiology Center - Anaheim is an health care organization with primary practice located at 1085 N Harbor Blvd , Anaheim CA 92801-2417. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. West Coast Radiology Center - Anaheim can be contacted via phone (714) 300-0703, or through Black, Michael L. via phone (714) 835-6055.

Contact Information

Primary practice address
1085 N Harbor Blvd Anaheim CA 92801-2417
Phone: (714) 300-0703
Fax: (714) 300-0704
Website:
Map and Directions
Authorized official contact:
Name: Black, Michael L. Doctor of Medicine (MD)
Phone: (714) 835-6055

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1053541128
LBN Legal business name West Coast Radiology Center - Anaheim
DBA Doing business as
Authorized official Black, Michael L. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 22nd, 2009
Last updated Jul 28th, 2009 - about 15 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 1053541128 NPPES
Other W10646 MEDICARE PTAN

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