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DUARTE RADIOLOGY MED GRP INC NPI 1861517245


NPI Information

NPI: 1861517245
Provider Name: DUARTE RADIOLOGY MED GRP INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
159 E HUNTINGTON DR
SUITE 9
ARCADIA, CA
ZIP 91006
Phone: (626) 447-3926
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DUARTE RADIOLOGY MED GRP INC is a diagnostic radiology radiology in Arcadia, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DUARTE RADIOLOGY MED GRP INC NPI is 1861517245. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

159 E HUNTINGTON DR
SUITE 9
ARCADIA, CA
ZIP 91006-224
Phone: (626) 447-3926
Fax: (626) 447-3717

The provider's authorized official is Erwin Gerberg .
The authorized official title is President and has the following contact phone number (626) 447-3926.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 5/24/2010.


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 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
100G99990MEDICAIDCALIFORNIA
2A90059MEDICARE UPIN
3HW8163MEDICARE ID-TYPE UNSPECIFIED

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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