San Gabriel Radiology Medical Group

LBN: San Gabriel Radiology Medical Group
San Gabriel Radiology Medical Group is an health care organization with primary practice located at 555 N Garfield Ave , Monterey Park CA 91754-1202. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. San Gabriel Radiology Medical Group can be contacted via phone (626) 572-0914, or through Whalen, Sean Patrick via phone (626) 572-0914.

Contact Information

Primary practice address
555 N Garfield Ave Monterey Park CA 91754-1202
Phone: (626) 572-0914
Fax: (626) 572-0914
Website:
Map and Directions
Authorized official contact:
Name: Whalen, Sean Patrick Doctor of Medicine (MD)
Phone: (626) 572-0914

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X C33476 California

Profile Details

NPI number 1205010709
LBN Legal business name San Gabriel Radiology Medical Group
DBA Doing business as
Authorized official Whalen, Sean Patrick Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2007
Last updated Mar 1st, 2012 - about 14 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 1205010709 NPPES
California Other W22403 MEDICARE PTAN

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