ANAHEIM RADIOLOGY MEDICAL GROUP INC. NPI 1740442045

NPI Information

NPI: 1740442045
Provider Name: ANAHEIM RADIOLOGY MEDICAL GROUP, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3105 PASEO DEL CAMPO
PALOS VERDES ESTATES, CA
ZIP 90274
Phone: (310) 339-1514
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ANAHEIM RADIOLOGY MEDICAL GROUP, INC. is a diagnostic radiology radiology in Palos Verdes Estates, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ANAHEIM RADIOLOGY MEDICAL GROUP, INC. NPI is 1740442045. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3105 PASEO DEL CAMPO
PALOS VERDES ESTATES, CA
ZIP 90274-034
Phone: (310) 339-1514
Fax: (310) 375-8176

The provider's authorized official is Peter S Herwitt .
The authorized official title is President and has the following contact phone number (310) 339-1514.

The enumeration date for this NPI number is 6/27/2008 and was last updated on 10/27/2009.

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	G23669	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	GR0009701	MEDICAID	CALIFORNIA
2	HW1596A	MEDICARE PIN	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: 4/28/2024

NPI Synchronization or Removal

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