Pacific Shores Radiology Medical Group Inc.

LBN: Pacific Shores Radiology Medical Group Inc.
Pacific Shores Radiology Medical Group Inc. is an health care organization with primary practice located at 1025 S Anaheim Blvd , Anaheim CA 92805-5806. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Pacific Shores Radiology Medical Group Inc. can be contacted via phone (714) 563-2813, or through Poh, Michael via phone (310) 792-3914.

Contact Information

Primary practice address
1025 S Anaheim Blvd Anaheim CA 92805-5806
Phone: (714) 563-2813
Fax: (714) 502-2691
Website:
Map and Directions
Authorized official contact:
Name: Poh, Michael Doctor of Medicine (MD)
Phone: (310) 792-3914

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G60583 California

Profile Details

NPI number 1326104605
LBN Legal business name Pacific Shores Radiology Medical Group Inc.
DBA Doing business as
Authorized official Poh, Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2006
Last updated Nov 1st, 2016 - about 9 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 1326104605 NPPES
California MEDICAID 1326104605

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