California Radiology .Com

LBN: J. Bruce Jacobs, M.D., Inc.
California Radiology .Com is an health care organization with primary practice located at 1821 W Olive Ave , Burbank CA 91506-2435. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. J. Bruce Jacobs, M.D., Inc. can be contacted via phone (818) 841-8880, or through Usmanov, Alexander via phone (818) 841-8880.

Contact Information

Primary practice address
1821 W Olive Ave Burbank CA 91506-2435
Fax: (818) 841-8884
Website:
Authorized official contact:
Name: Usmanov, Alexander Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A21604 California

Profile Details

NPI number 1316205644
LBN Legal business name J. Bruce Jacobs, M.D., Inc.
DBA Doing business as California Radiology .Com
Authorized official Usmanov, Alexander Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2012
Last updated Jan 27th, 2014 - about 12 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 1316205644 NPPES
California MEDICAID 1316205644

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