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TUSTIN TELERADIOLOGY MEDICAL GROUP INC. NPI 1326086703


NPI Information

NPI: 1326086703
Provider Name: TUSTIN TELERADIOLOGY MEDICAL GROUP INC.
Classification: Radiologic Technologist - 2471C3402X
Entity Type: Organization

Specialization: Radiography

Address:
13422 NEWPORT AVE
SUITE I
TUSTIN, CA
ZIP 92780
Phone: (714) 665-6900
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TUSTIN TELERADIOLOGY MEDICAL GROUP INC. is a radiography radiologic technologist in Tustin, CA. The provider is a radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care. TUSTIN TELERADIOLOGY MEDICAL GROUP INC. NPI is 1326086703. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13422 NEWPORT AVE
SUITE I
TUSTIN, CA
ZIP 92780-746
Phone: (714) 665-6900
Fax: (714) 665-6904

The provider's authorized official is Thomas L Atlas .
The authorized official title is Owner and has the following contact phone number (714) 665-6900.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 1/1/2019.


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
12471C3402XRadiologic TechnologistRadiographyG74535CALIFORNIAYes

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
100G745350MEDICAIDCALIFORNIA
2002082232MEDICAIDNEVADA
3ZZZ57939ZOTHERCALIFORNIABLUE SHIELD GROUP NUMBER

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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