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CENTINELA RADIOLOGY MEDICAL GROUP NPI 1861475352


NPI Information

NPI: 1861475352
Provider Name: CENTINELA RADIOLOGY MEDICAL GROUP
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
555 E HARDY ST
CENTINELA HOSPITAL MEDICAL CENTER
INGLEWOOD, CA
ZIP 90301
Phone: (310) 673-4660
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CENTINELA RADIOLOGY MEDICAL GROUP is a diagnostic radiology radiology in Inglewood, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. CENTINELA RADIOLOGY MEDICAL GROUP NPI is 1861475352. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

555 E HARDY ST
CENTINELA HOSPITAL MEDICAL CENTER
INGLEWOOD, CA
ZIP 90301-011
Phone: (310) 673-4660

The provider's authorized official is Michael S Shaub .
The authorized official title is Partner and has the following contact phone number (310) 419-0597.

The enumeration date for this NPI number is 11/29/2005 and was last updated on 8/15/2008.


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 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
1GR0010883OTHERCALOPTIMA
2ZZZ64951ZOTHERBLUE SHIELD
3GR0010880MEDICAIDCALIFORNIA
4GR0010881MEDICAIDCALIFORNIA
5ZZZ64952ZOTHERBLUE SHIELD
6GR0010882MEDICAIDCALIFORNIA
7CR0166OTHERRAILROAD MEDICARE
8ZZZ94679ZOTHERBLUE SHIELD
9GR0010881OTHERCALOPTIMA
10GR0010882OTHERCALOPTIMA
11GR0010883MEDICAIDCALIFORNIA
12ZZZ65765ZOTHERBLUE SHIELD
13HW8167MEDICARE PIN

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: 4/28/2024

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