DIAGNOSTIC IMAGING NETWORK MEDICAL GROUP INC. NPI 1740384015

NPI Information

NPI: 1740384015
Provider Name: DIAGNOSTIC IMAGING NETWORK MEDICAL GROUP, INC.
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
165 W HOSPITALITY LN
SUITE 27
SAN BERNARDINO, CA
ZIP 92408
Phone: (888) 346-3811
Get Directions

DIAGNOSTIC IMAGING NETWORK MEDICAL GROUP, INC. is a radiology clinic center in San Bernardino, CA. DIAGNOSTIC IMAGING NETWORK MEDICAL GROUP, INC. NPI is 1740384015. The provider is registered as an organization entity type.

The provider's business location address is:

165 W HOSPITALITY LN
SUITE 27
SAN BERNARDINO, CA
ZIP 92408-334
Phone: (888) 346-3811
Fax: (714) 947-1277

The provider's authorized official is Sim C. Hoffman .
The authorized official title is Medical Director and has the following contact phone number (714) 995-5400.

The enumeration date for this NPI number is 9/8/2006 and was last updated on 7/2/2013.

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	261QR0200X	Clinic/Center	Radiology	G43636	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	ZZZ18754Z	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE NUMBER
2	GR0084600	MEDICAID	CALIFORNIA

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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