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COMMUNITY MOBILE ULTRASOUND LLC NPI 1760620959


NPI Information

NPI: 1760620959
Provider Name: COMMUNITY MOBILE ULTRASOUND, LLC

Doing Business As: TRIDENTCARE

Classification: Radiology - 2085U0001X
Entity Type: Organization

Specialization: Diagnostic Ultrasound

Address:
2141 S EL CAMINO REAL STE A&B
OCEANSIDE, CA
ZIP 92054
Phone: (510) 278-9030
Get Directions

COMMUNITY MOBILE ULTRASOUND, LLC is a diagnostic ultrasound radiology in Oceanside, CA. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. COMMUNITY MOBILE ULTRASOUND, LLC NPI is 1760620959. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tridentcare.

The provider's business location address is:

2141 S EL CAMINO REAL STE A&B
OCEANSIDE, CA
ZIP 92054-003
Phone: (510) 278-9030
Fax: (443) 842-7264

The provider's authorized official is Brian C Cuomo .
The authorized official title is Authorized Official/cfo and has the following contact phone number (800) 786-8015.

The enumeration date for this NPI number is 1/27/2009 and was last updated on 4/8/2024.


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
12085U0001XRadiologyDiagnostic UltrasoundYes

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
1P01099709OTHERCALIFORNIARRMC
21760620959OTHERNPI

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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