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SOUTH VALLEY RADIOLOGY MEDICAL GROUP INC NPI 1508813619


NPI Information

NPI: 1508813619
Provider Name: SOUTH VALLEY RADIOLOGY MEDICAL GROUP INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
18344 CLARK ST
SUITE 101
TARZANA, CA
ZIP 91356
Phone: (818) 881-9811
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SOUTH VALLEY RADIOLOGY MEDICAL GROUP INC is a diagnostic radiology radiology in Tarzana, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SOUTH VALLEY RADIOLOGY MEDICAL GROUP INC NPI is 1508813619. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18344 CLARK ST
SUITE 101
TARZANA, CA
ZIP 91356-505
Phone: (818) 881-9811
Fax: (818) 881-1638

The provider's authorized official is Richard Mark Gritz .
The authorized official title is President and has the following contact phone number (818) 726-6480.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 12/1/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207U00000XNuclear MedicineNo
22085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ65212ZOTHERCALIFORNIABLUE SHIELD
2GR0092560MEDICAIDCALIFORNIA
3ZZZ80581ZMEDICAIDCALIFORNIA
4HW18950MEDICARE PINCALIFORNIA
5ZZZ65198ZOTHERCALIFORNIABLUE SHIELD
6ZZZ65202ZOTHERCALIFORNIABLUE SHIELD
7ZZZ65201ZOTHERCALIFORNIABLUE SHIELD
8ZZZ65200ZOTHERCALIFORNIABLUE SHIELD
9W18950MEDICARE PINCALIFORNIA
10GR0092562MEDICAIDCALIFORNIA
11DD5984MEDICARE PINCALIFORNIA
12ZZZ65301ZOTHERCALIFORNIABLUE SHIELD

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: 11/14/2023

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