Digital & Radiologic Imaging Associates Inc. A Medical Group

LBN: Digital & Radiologic Imaging Associates Inc. A Medical Group
Digital & Radiologic Imaging Associates Inc. A Medical Group is an health care organization with primary practice located at 17100 Euclid St , Fountain Valley CA 92708-4004. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. Digital & Radiologic Imaging Associates Inc. A Medical Group can be contacted via phone (714) 966-8041, or through Wagner, Elliott J. via phone (949) 348-1105.

Contact Information

Primary practice address
17100 Euclid St Fountain Valley CA 92708-4004
Phone: (714) 966-8041
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Elliott J. Doctor of Medicine (MD)
Phone: (949) 348-1105

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X

Profile Details

NPI number 1891747200
LBN Legal business name Digital & Radiologic Imaging Associates Inc. A Medical Group
DBA Doing business as
Authorized official Wagner, Elliott J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Feb 27th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891747200 NPPES
California Other ZZZ36724Z BLUE SHIELD
California MEDICAID GR0019852 BLUE SHIELD

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