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KERN RADIOLOGY MEDICAL GROUP NPI 1790109130


NPI Information

NPI: 1790109130
Provider Name: KERN RADIOLOGY MEDICAL GROUP
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 05D2164129

Address:
1427 S LEXINGTON ST
BUILDING A, SUITE 10
DELANO, CA
ZIP 93215
Phone: (661) 326-9600
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KERN RADIOLOGY MEDICAL GROUP is a diagnostic radiology radiology in Delano, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. KERN RADIOLOGY MEDICAL GROUP NPI is 1790109130. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1427 S LEXINGTON ST
BUILDING A, SUITE 10
DELANO, CA
ZIP 93215-273
Phone: (661) 326-9600
Fax: (661) 334-3065

The provider's authorized official is John Maurice Gundzk .
The authorized official title is Radiologist and has the following contact phone number (661) 395-3272.

The CLIA number assigned to this NPI record is 05D2164129 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2014 and was last updated on 2/5/2014.


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
12085R0202XRadiologyDiagnostic RadiologyCALIFORNIAYes

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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