San Diego Regional P.E.T. Center, Llc

LBN: San Diego Regional P.E.T. Center, Llc
San Diego Regional P.E.T. Center, Llc is an health care organization with primary practice located at 7625 Mesa College Dr 102, San Diego CA 92111-5343. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. San Diego Regional P.E.T. Center, Llc can be contacted via phone (858) 499-0230, or through Cleary, Tom via phone (858) 499-0230.

Contact Information

Primary practice address
7625 Mesa College Dr 102 San Diego CA 92111-5343
Phone: (858) 499-0230
Fax: (858) 499-0231
Website:
Map and Directions
Authorized official contact:
Name: Cleary, Tom
Phone: (858) 499-0230

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X

Profile Details

NPI number 1104879121
LBN Legal business name San Diego Regional P.E.T. Center, Llc
DBA Doing business as
Authorized official Cleary, Tom
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1104879121 NPPES
Other ZZZ08027 BLUE SHIELD

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