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HI-DESERT P.E.T. & NUCLEAR IMAGING CENTER NPI 1396807202


NPI Information

NPI: 1396807202
Provider Name: HI-DESERT P.E.T. & NUCLEAR IMAGING CENTER
Classification: Radiology - 2085N0904X
Entity Type: Organization

Specialization: Nuclear Radiology

Address:
17260 BEAR VALLEY RD
SUITE 114
VICTORVILLE, CA
ZIP 92395
Phone: (760) 955-9119
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HI-DESERT P.E.T. & NUCLEAR IMAGING CENTER is a nuclear radiology radiology in Victorville, CA. The provider is a radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. HI-DESERT P.E.T. & NUCLEAR IMAGING CENTER NPI is 1396807202. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17260 BEAR VALLEY RD
SUITE 114
VICTORVILLE, CA
ZIP 92395-777
Phone: (760) 955-9119
Fax: (760) 955-9118

The provider's authorized official is Khalid M Sheikh .
The authorized official title is President and has the following contact phone number (760) 955-9119.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 7/30/2008.


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
12085N0904XRadiologyNuclear RadiologyBSL06-03366CALIFORNIAYes

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
1ZZZ05010ZMEDICARE PINCALIFORNIA

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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