VANOWEN RADIOLOGICAL MEDICAL GROUP INC. NPI 1699729848

NPI Information

NPI: 1699729848
Provider Name: VANOWEN RADIOLOGICAL MEDICAL GROUP, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
15107 VANOWEN ST
VAN NUYS, CA
ZIP 91405
Phone: (818) 902-2951
Get Directions

VANOWEN RADIOLOGICAL MEDICAL GROUP, INC. is a diagnostic radiology radiology in Van Nuys, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. VANOWEN RADIOLOGICAL MEDICAL GROUP, INC. NPI is 1699729848. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15107 VANOWEN ST
VAN NUYS, CA
ZIP 91405-542
Phone: (818) 902-2951

The provider's authorized official is Larry Kussin .
The authorized official title is Medical Director and has the following contact phone number (818) 902-2951.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 10/11/2007.

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
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ73155Z	OTHER		BLUE SHIELD
2	W10705C	MEDICARE ID-TYPE UNSPECIFIED
3	HW1977A	MEDICARE ID-TYPE UNSPECIFIED
4	ZZZ73155Z	MEDICAID	CALIFORNIA
5	W10705B	MEDICARE ID-TYPE UNSPECIFIED
6	CU0807	OTHER		RAILROAD MEDICARE

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

NPI Synchronization or Removal

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