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RIVERSIDE RADIOLOGY MEDICAL GROUP INC. NPI 1457653206


NPI Information

NPI: 1457653206
Provider Name: RIVERSIDE RADIOLOGY MEDICAL GROUP, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 05D0911852

Address:
3651 LAKETREE DR
FALLBROOK, CA
ZIP 92028
Phone: (559) 455-4000
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RIVERSIDE RADIOLOGY MEDICAL GROUP, INC. is a diagnostic radiology radiology in Fallbrook, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RIVERSIDE RADIOLOGY MEDICAL GROUP, INC. NPI is 1457653206. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3651 LAKETREE DR
FALLBROOK, CA
ZIP 92028-404
Phone: (559) 455-4000

The provider's authorized official is Donald R. Massee .
The authorized official title is President and has the following contact phone number (951) 781-2273.

The CLIA number assigned to this NPI record is 05D0911852 - ancillary testing site in health care center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/30/2010 and was last updated on 11/30/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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