X-Ray Medical Group Inc

LBN: X-Ray Medical Group Inc
X-Ray Medical Group Inc is an health care organization with primary practice located at 7777 Alvarado Rd Suite 108, La Mesa CA 91941-3616. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. X-Ray Medical Group Inc can be contacted via phone (619) 460-2770, or through Ellison, Harry Peter via phone (619) 460-2770.

Contact Information

Primary practice address
7777 Alvarado Rd Suite 108 La Mesa CA 91941-3616
Fax: (619) 460-2774
Website:
Authorized official contact:
Name: Ellison, Harry Peter Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1740232776
LBN Legal business name X-Ray Medical Group Inc
DBA Doing business as
Authorized official Ellison, Harry Peter Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Jun 20th, 2024 - about 3 months 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 1740232776 NPPES
California MEDICAID GR0013321
California MEDICAID ZZZ73868Z
California Other ZZZ32219Z
California Other ZZZ32053Z
California Other ZZZ32220Z
California Other ZZZ52314Z
California MEDICAID GR0013320

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