SAN GABRIEL RADIOLOGY MEDICAL GROUP NPI 1205010709

NPI Information

NPI: 1205010709
Provider Name: SAN GABRIEL RADIOLOGY MEDICAL GROUP
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
555 N GARFIELD AVE
MONTEREY PARK, CA
ZIP 91754
Phone: (626) 572-0914
Get Directions

SAN GABRIEL RADIOLOGY MEDICAL GROUP is a diagnostic radiology radiology in Monterey Park, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SAN GABRIEL RADIOLOGY MEDICAL GROUP NPI is 1205010709. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

555 N GARFIELD AVE
MONTEREY PARK, CA
ZIP 91754-202
Phone: (626) 572-0914
Fax: (626) 572-0914

The provider's authorized official is Sean Patrick Whalen .
The authorized official title is Ceo, President, Director and has the following contact phone number (626) 572-0914.

The enumeration date for this NPI number is 12/20/2007 and was last updated on 3/1/2012.

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	C33476	CALIFORNIA	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	W22403	OTHER	CALIFORNIA	MEDICARE PTAN

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

NPI Synchronization or Removal

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