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GABILAN RADIOLOGY MEDICAL GROUP NPI 1689622045


NPI Information

NPI: 1689622045
Provider Name: GABILAN RADIOLOGY MEDICAL GROUP
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
911 SUNSET DR
HOLLISTER, CA
ZIP 95023
Phone: (831) 636-2650
Get Directions

GABILAN RADIOLOGY MEDICAL GROUP is a diagnostic radiology radiology in Hollister, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. GABILAN RADIOLOGY MEDICAL GROUP NPI is 1689622045. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

911 SUNSET DR
HOLLISTER, CA
ZIP 95023
Phone: (831) 636-2650
Fax: (831) 636-2605

The provider's authorized official is Robert B Skor .
The authorized official title is Owner and has the following contact phone number (831) 636-2650.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 12/28/2007.


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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CP7060MEDICARE PINCALIFORNIA
2ZZZ17792ZMEDICARE PINCALIFORNIA
3GR0016001MEDICAIDCALIFORNIA

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: 5/5/2024

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