DIGITAL & RADIOLOGIC IMAGING ASSOCIATES INC. A MEDICAL GROUP NPI 1891747200

NPI Information

  • NPI: 1891747200
  • Provider Name: DIGITAL & RADIOLOGIC IMAGING ASSOCIATES INC. A MEDICAL GROUP
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 17100 EUCLID ST
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Phone: (714) 966-8041

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NPI Details

DIGITAL & RADIOLOGIC IMAGING ASSOCIATES INC. A MEDICAL GROUP is a diagnostic radiology radiology in Fountain Valley, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DIGITAL & RADIOLOGIC IMAGING ASSOCIATES INC. A MEDICAL GROUP NPI is 1891747200. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

17100 EUCLID ST
FOUNTAIN VALLEY, CA
ZIP 92708-004
Phone: (714) 966-8041

The provider's authorized official is Elliott J. Wagner .
The authorized official title is President and has the following contact phone number (949) 348-1105.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 2/27/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0204XRadiologyVascular & Interventional RadiologyNo
2207U00000XNuclear MedicineNo
32085R0202XRadiologyDiagnostic 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
1ZZZ36724ZOTHERCALIFORNIABLUE SHIELD
2GR0019852MEDICAIDCALIFORNIA
3W8723AMEDICARE PINCALIFORNIA
4CP2302MEDICARE PINCALIFORNIA

What is NPI?

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This page was last updated on: 3/30/2025

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